MEDICARE: ROBERT MICHAEL ADAMS CRNA, MS

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	367500000X	Certified Registered Nurse Anesthetist	ARNP9252584	FL
2	367500000X	Certified Registered Nurse Anesthetist	RN342424L	PA
3	367500000X	Certified Registered Nurse Anesthetist	APN 26NJ00213800	NJ

General Provider Information

NPI Number	:	1568466449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT MICHAEL ADAMS CRNA, MS

Provider Business Mailing Address
First Line	:	2784 ISLAND POND LN
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-7526
Country	:	US
Telephone Number	:	215-519-3384
Fax Number	:	215-428-1237

Provider Business Practice Location Address
First Line	:	2784 ISLAND POND LN
Second Line	:	ANESTHESIA STAT LLC
City	:	NAPLES
State	:	FL
Zip	:	34119-7526
Country	:	US
Telephone Number	:	215-519-3384
Fax Number	:	215-428-1237

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	08/01/2010

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