| Fulton Sports Medicine Llc | |
|
873 Hull Rd Unit 12 Ormond Beach FL 32174-0738 | |
| (386) 267-2965 | |
| (386) 603-6007 |
| Full Name | Fulton Sports Medicine Llc |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 873 Hull Rd Unit 12, Ormond Beach, Florida |
| Authorized Official Name and Position | Brent Nelson Fulton (PRESIDENT) |
| Authorized Official Contact | 3862672965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fulton Sports Medicine Llc 873 Hull Rd Unit 12 Ormond Beach FL 32174-0738 Ph: (386) 267-2965 | Fulton Sports Medicine Llc 873 Hull Rd Unit 12 Ormond Beach FL 32174-0738 Ph: (386) 267-2965 |
| NPI Number | 1801727441 |
|---|---|
| Provider Enumeration Date | 05/25/2026 |
| Last Update Date | 05/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801727441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
Ormond Family Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 279 S Yonge St, Ormond Beach, FL 32174 Phone: 386-955-9704 Fax: 386-872-5004 | |
James E Mcdonnell Md Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Clyde Morris Blvd, Suite 130, Ormond Beach, FL 32174 Phone: 386-677-6727 Fax: 386-677-3211 | |
Mark W. Lastarza, M.d., Pa. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 Clyde Morris Blvd, Suite 290, Ormond Beach, FL 32174 Phone: 386-672-3219 Fax: 386-672-3160 | |
Skeuthaus Inpatient Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 Sterthaus Ave, Ormond Beach, FL 32174 Phone: 386-676-6000 | |
Advanced Health Care Physical Medicine,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 W Granada Blvd, Suite 101, Ormond Beach, FL 32174 Phone: 386-673-2000 Fax: 386-673-2002 | |
Roya Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 N Beach St, Suite A, Ormond Beach, FL 32174 Phone: 386-673-8333 Fax: 386-673-5236 | |
Partnering For Community Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 N Old Kings Rd Ste D, Ormond Beach, FL 32174 Phone: 386-944-9808 |