Indies and the west coast of Africa. Back in the United States in 1821 Dr. Hulse was assigned to the Naval Hospital at Norfolk, Virginia, where he remained for two years during and was promoted to Surgeon. In 1826 he assigned to Florida service at the Naval Hospital in Pensacola.In contrast to many of his colleagues, Dr. Hulse had requested this most arduous and dangerous assignment. At Barrancas he rented two a story dwelling as a hospital and attempted to bring quality medical care to a hard pressed military community. Hulse spent much time urging the construction of new purpose built hospital (he was particularly keen to move his hospital and his patients from the tempting local grog shops) but because of military construction funding delays, the NavalHospital was not completed until December 1835 Surgeon Hulse served as commanding officer of the Pensacola hospital three times, spending 19 of his 33-year Navy career in northwest Florida before his death of tuberculosis in 1856. Hulse is buried at Barrancas, National Cemetery located on Naval Air Station Pensacola.

Today Surgeon Hulse‘s Naval Hospital at Pensacola enjoys world renown and his reports on the state of his patients continue to provide valuable demographic and medical information for historians.