MICHAEL N FULTON


Address: 3127 W International Speedway Blvd, Daytona Beach, FL 32124-1070
Phone: 3862589502

MICHAEL N FULTON (NPI# 1295701670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295701670
Entity Type Individual
Full Name MICHAEL N FULTON
Credential MD
Practice Address 3127 W International Speedway Blvd
Daytona Beach
FL 32124-1070
Practice Telephone 3862589502
Practice Fax Number 3862399781
Mailing Telephone 3862589502
Mailing Fax Number 3862399781
Enumeration Date 2006-02-27
Last Update Date 2009-08-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
ME036059 FL Allopathic & Osteopathic Physicians

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1134109093 Michael Dwain Fulton Family Medicine 565 W I 30, Garland, TX 75043-5702 2006-01-18
1306823083 Michael Everett Fulton Dentist 5955 Zeamer Ave, Jber, AK 99506-3702 2005-12-23

Office Location

Street Address 3127 W INTERNATIONAL SPEEDWAY BLVD
City DAYTONA BEACH
State FL
Zip Code 32124-1070

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265419667 Andrew Joseph Moffatt Specialist/Technologist 3127 W International Speedway Blvd, Daytona Beach, FL 32124-1070 2005-12-27
1689952350 Anthony Daniel Arnold Specialist/Technologist 3127 W International Speedway Blvd, Daytona Beach, FL 32124-1070 2011-07-29
1588942544 Mary Stephens Reflexologist 3127 W International Speedway Blvd, Daytona Beach, FL 32124-1070 2011-07-25
1922239110 Michael N Fulton Orthopaedic Surgery 3127 W International Speedway Blvd, Daytona Beach, FL 32124-1070 2009-08-05
1114995883 Sandra Leah Thomas Registered Nurse 3127 W International Speedway Blvd, Daytona Beach, FL 32124-1070 2006-03-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407302599 Christine Lapila Behavioral Analyst 201 Thornberg Branch Lane, Daytona Beach, FL 32124 2016-08-29
1194708495 Brent N. Fulton Family Medicine 3127 W International Speedway Blvd., Daytona Beach, FL 32124 2005-11-21
1891212130 Brian Moore Early Intervention Provider Agency 201 Thornberry Branch Ln, Daytona Beach, FL 32124 2017-08-28
1588834725 Glendoria Stephens Counselor 3875 Tiger Bay Rd, Rm 914 Bldg I, Daytona Beach, FL 32124 2008-03-04
1003146887 Sequel Tsi of Florida, LLC Daytona Transitional Residential Treatment Facility, Emotionally Disturbed Children 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 2009-12-30
1376874370 Sequel Tsi of Florida, LLC Daytona Residential Treatment Center Psychiatric Residential Treatment Facility 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 2010-01-15
1710531454 Publix Super Markets, Inc. Durable Medical Equipment & Medical Supplies 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 2019-07-31
1336746544 Kyle Adams Pharmacist 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 2020-10-01
1750369666 Sma Healthcare Inc Community/Behavioral Health 1150 Red John Road, Daytona Beach, FL 32124-1016 2006-01-03
1396742490 Theodore Frank Matejka Nurse Practitioner 1150 Red John Dr, Daytona Beach, FL 32124-1016 2005-07-05
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073514253 Scott Ian Silas Orthopaedic Surgery 1630 Mason Ave, Daytona Beach, FL 32117-4547 2005-08-10
1689076499 Bethune-cookman University Orthopaedic Surgery 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL 32114-3012 2014-09-24
1922239110 Michael N Fulton Orthopaedic Surgery 3127 W International Speedway Blvd, Daytona Beach, FL 32124-1070 2009-08-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801401021 Ortho Florida, LLC Orthopaedic Surgery 17425 7th St Ste 560174, Montverde, FL 34756-3206 2020-09-14
1801429022 Ortho Florida, LLC Orthopaedic Surgery 2122 W Cypress Creek Rd Ste 202, Ft Lauderdale, FL 33309-1858 2020-02-17
1750913141 Tyrance Orthopedics and Sports Medicine Orthopaedic Surgery 1620 S Congress Ave Ste 201, Palm Springs, FL 33461-2128 2020-02-04
1255979076 Ortho Florida, LLC Orthopaedic Surgery 2122 W Cypress Crk Rd Ste 202, Fort Lauderdale, FL 33309-1858 2019-12-11
1730740218 Baptist Physician Group LLC Orthopaedic Surgery 133 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1644 2019-06-25
1164984720 Ortho Florida, LLC Orthopaedic Surgery 21097 Ne 27th Ct Ste 590, Aventura, FL 33180-1246 2019-04-03
1578043998 Bahri Orthopedics Institute Orthopaedic Surgery 6100 Kennerly Rd Ste 202, Jacksonville, FL 32216-4379 2018-08-15
1154834489 Dorothy Richardson Orthopaedic Surgery 1120 W Lakeshore Dr, Clermont, FL 34711-2936 2017-11-08
1225541790 Ortho Florida, LLC Orthopaedic Surgery 3702 Washington St Ste 202, Hollywood, FL 33021-8283 2017-11-07
1275046831 Galaxy Wellness Sport and Rehabilitation Center LLC Orthopaedic Surgery 1951 Nw 7th St, Miami, FL 33125 2017-11-06
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Competitor

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City DAYTONA BEACH
Zip Code 32124

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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