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Brenna Fullerton, M.D
NPI 1366741720 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1720 S Orange Ave Ste 500
Orlando, FL 32806 - Phone
- (140) 754-0100
- Fax
- (407) 540-1011
- Organisation at this address
- Lori Smith, Lcsw, Llc
George William Chisholm, M.D.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Additional practice sites
- 3800 Reservoir Rd Nw, Washington, DC
Registry record
- Primary taxonomy
- 2086S0120X
2086S0120X
- Also registered as
- 208600000X
390200000X - Licence states on file
- MA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida