Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fulton Sports Medicine LLC

Organization Sports Medicine (Family Medicine) Physician · NPI 1801727441

Fulton Sports Medicine LLC provides Sports Medicine (Family Medicine) Physician services in Ormond Beach, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

873 Hull Rd Unit 12
Ormond Beach, FL 32174-0738
Phone: (386) 267-2965
Fax: (386) 603-6007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1801727441
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brent Fulton — President · (386) 267-2965
NPI enumeratedMay 25, 2026
Last updated in NPPESMay 25, 2026
Certification dateMay 24, 2026
Mailing address873 Hull Rd Unit 12, Ormond Beach, FL 32174-0738

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