Fulton, Carol Marie

Fulton, Carol Marie is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Pediatrics Rainbow Center, Jacksonville FL 32209-6511. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fulton, Carol Marie can be contacted via phone (904) 244-5248.

Contact Information

Primary practice address
655 W 8Th St Ufjp Pediatrics Rainbow Center Jacksonville FL 32209-6511
Phone: (904) 244-5248
Fax: (904) 244-5341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP1392722 Florida

Profile Details

NPI number 1861460115
LBN Legal business name Fulton, Carol Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2006
Last updated Dec 16th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861460115 NPPES
Florida MEDICAID 3028917-00
Florida MEDICAID 092535513A

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