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Brenna Sullivan Fullerton, MD
Pediatric Surgery Physician in Orlando, Florida
NPI 1366741720

Brenna Sullivan Fullerton is a Pediatric Surgery Physician based in Orlando, FL and is specialized in Pediatric Surgery. Brenna Sullivan Fullerton practices in Orlando, FL and has the professional credentials of MD. The NPI Number for Brenna Sullivan Fullerton is 1366741720 and holds a License No. 259770 (Florida).

The current practice location address for Brenna Sullivan Fullerton is 1720 S Orange Ave Ste 500, Orlando, FL and can be reached out via phone at 140-754-0100 and via fax at 407-540-1011.

Location: 1720 S Orange Ave Ste 500, Orlando, FL, 32806-2967
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366741720
Provider Name
Brenna Sullivan Fullerton
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1720 S Orange Ave Ste 500, Orlando, FL, 32806-2967
Phone Number
140-754-0100
Fax Number
407-540-1011
Provider Enumeration Date
03/23/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1720 S Orange Ave Ste 500
City
Orlando
State
Florida
Zip
32806-2967
Phone Number
140-754-0100
Fax Number
407-540-1011
person
Provider Business Mailing Address Details
Address
1720 S Orange Ave Ste 500
City
Orlando
State
Florida
Zip
32806-2967
Phone Number
140-754-0100
Fax Number
407-540-1011
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
ME150199 (Florida)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
2086S0120X
License No.
()
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
259770 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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