MEDICARE: MS. ERICA ELIZABETH ADAMS DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH13939	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003558982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ERICA ELIZABETH ADAMS DC

Provider Business Mailing Address
First Line	:	4904 CLYDE MORRIS BLVD STE A
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32129-9656
Country	:	US
Telephone Number	:	386-307-8207
Fax Number	:

Provider Business Practice Location Address
First Line	:	4904 CLYDE MORRIS BLVD STE A
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32129-9656
Country	:	US
Telephone Number	:	386-307-8207
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2022
Last Update Date	:	04/11/2022

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