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Contact Information

MARK A FULTON, MD
1251 S HICKORY ST
MELBOURNE, FL32901-3221
 Phone: 321-434-3420
 Fax: 321-434-3423
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARK A FULTON · (Male)

NPI # 1962409169
Status Active
Credentials MD
Entity Individual
Enumeration date 07/01/2005
Last updated 08/31/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME105861
  • FL Medicaid 001679400
  • FL Other CS864X MEDICARE
  • FL Other CS864Y MEDICARE
Hospital affiliation(s)
  • CAPE CANAVERAL HOSPITAL - (Acute Care)
    701 W COCOA BEACH CAUSEWAY
    COCOA BEACH, FL 32932
  • HOLMES REGIONAL MEDICAL CENTER - (Acute Care)
    1350 S HICKORY ST
    MELBOURNE, FL 32901
  • PALM BAY HOSPITAL - (Acute Care)
    1425 MALABAR RD, NE
    PALM BAY, FL 32907
  • VIERA HOSPITAL - (Acute Care)
    8745 N WICKHAM RD
    MELBOURNE, FL 32940
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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