Dr BRENTON G FULKS CNA is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 1995.
NATURE COAST ANESTHESIA PROVIDERS PA
1879 NIGHTINGALE LANE
SUITE A 2
TAVARES
FL
327784363
Tel: 3527420079
| Npi | 1134181175 |
| Pac Id | 2264405240 |
| Professional Enrollment Id | I20040817001329 |
| Last Name | FULKS |
| First Name | BRENTON |
| Middle Name | G |
| Suffix | |
| Gender | M |
| Credential | CNA |
| Medical School Name | OTHER |
| Graduation Year | 1995 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Organization Legal Name | NATURE COAST ANESTHESIA PROVIDERS PA |
| Group Practice Pac Id | 2163471723 |
| Number Of Group Practice Members | 6 |
| Line 1 Street Address | 1879 NIGHTINGALE LANE |
| Line 2 Street Address | SUITE A 2 |
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| City | TAVARES |
| State | FL |
| Zip Code | 327784363 |
| Phone Number | 3527420079 |
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| Professional Accepts Medicare Assignment | Y |
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