Michael N Fulton

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

MICHAEL N FULTON

Practice address

3127 W International Speedway Blvd
Daytona Beach, FL 32124-1070

Phone

(386) 258-9502

Fax

(386) 239-9781

NPI assigned

Aug 5, 2009

Last updated

Aug 5, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael N Fulton, MDNPI 1295701670

Title

Owner

Phone

(386) 258-9502

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael N Fulton, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Daytona Beach, FL
  • NPI 1295701670
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1922239110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 W INTERNATIONAL SPEEDWAY BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321241070",
            "telephone_number": "386-258-9502",
            "fax_number": "386-239-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 W INTERNATIONAL SPEEDWAY BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321241070",
            "telephone_number": "386-258-9502",
            "fax_number": "386-239-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL N FULTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-258-9502",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael D. Kohen, MD, PA (Allergy, Asthma, Arthritis & Lung Center)
• Michael P. Harrington, M.D., P.a.
• Mirola Michael, RDN, LDN
• Tamara S. Michael, APRN
• Jennifer Anne Michalak, PA-C
• Mid Florida Neuro Daytona, LLC

• Sports Medicine (Orthopaedic Surgery) Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.