Brenton G Fulks (NPI# 1134181175, PAC ID# 2264405240) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1134181175 |
| PAC ID by PECOS | 2264405240 |
| Professional Enrollment ID | I20040817001329 |
| Full Name | Brenton G Fulks |
| Organization Legal Name | VILLAGES ANESTHESIA ASSOCIATES LLC |
| Address |
10900 Se 174th Place Rd Suite D Summerfield FL 34491-8984 |
| Phone Number | 3522457427 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1995 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4183790892 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1670 Eagle Harbor Pkwy, Suite B, Orange Park, FL 32003-4820 | 9046440700 | FLEMING ISLAND ANESTHESIA LLC |
| 10900 Se 174th Place Rd, Suite D, Summerfield, FL 34491-8984 | 3522457427 | VILLAGES ANESTHESIA ASSOCIATES LLC |
| Organization Legal Name | VILLAGES ANESTHESIA ASSOCIATES LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Celestine E Ukah | Anesthesiology | Villages Anesthesia Associates LLC | 10900 Se 174th Place Rd, Suite D, Summerfield, FL 34491-8984 |
| Street Address |
10900 SE 174TH PLACE RD SUITE D |
| City | SUMMERFIELD |
| State | FL |
| Zip | 34491-8984 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Celestine E Ukah | Anesthesiology | Villages Anesthesia Associates LLC | 10900 Se 174th Place Rd, Suite D, Summerfield, FL 34491-8984 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dominick J Buro | Emergency Medicine | Sheridan Emergency Physician Services Inc | 14193 S Us Hwy 441, Summerfield, FL 34491-3476 |
| Frank A Fraunfelter | Emergency Medicine | Sheridan Emergency Physician Services Inc | 14193 S Us Hwy 441, Summerfield, FL 34491-3476 |
| James Link Wilson | Emergency Medicine | Sheridan Emergency Physician Services Inc | 14193 S Us Hwy 441, Summerfield, FL 34491-3476 |
| David L Wilson Ii | Emergency Medicine | Sheridan Emergency Physician Services Inc | 14193 S Us Hwy 441, Summerfield, FL 34491-3476 |
| Ryne C Neville | Chiropractic | 15580s Us Hwy 441 1, Summerfield, FL 34491-4473 | |
| Jack D Gold | Psychologist, Clinical | 15151 S Us Hwy 441, Suite 300, Summerfield, FL 34491-4482 | |
| Carl Sicard | Psychiatry | Fhl Psychiatric Services Pllc | 15151 S Us Hwy 441, Suite 300, Summerfield, FL 34491-4482 |
| Alfredo L Jacome | Neurology | 16065s Us Hwy 441 101, Summerfield, FL 34491-5967 | |
| Jocelyn C Eslinger | Nurse Practitioner | Delcare, Pa | 10770 Se 173 St, Summerfield, FL 34491-6851 |
| Marissa R Reit | Physician Assistant | Delcare, Pa | 10770 Se 173 St, Summerfield, FL 34491-6851 |
| Find all physicians in zip 34491 | |||
| City | SUMMERFIELD |
| Zip Code | 34491 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | SUMMERFIELD + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Brenton G Fulks.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.