Organization
MICHAEL N FULTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL N FULTON MD (OWNER)
(386) 258-9502
Entity
Organization
Contact information
Practice address
3127 W INTERNATIONAL SPEEDWAY BLVD, DAYTONA BEACH, FL 32124-1070
(386) 258-9502
(386) 239-9781
Mailing address
3127 W INTERNATIONAL SPEEDWAY BLVD, DAYTONA BEACH, FL 32124-1070
(386) 258-9502
(386) 239-9781
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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