MEDICARE: MISS LAURA MORGAN ADAMS PT, DPT

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	2251X0800X	Orthopedic Physical Therapist	PT34479	FL

General Provider Information

NPI Number	:	1659860989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS LAURA MORGAN ADAMS PT, DPT

Provider Business Mailing Address
First Line	:	20577 AMBERFIELD DR
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34638-4323
Country	:	US
Telephone Number	:	813-909-7451
Fax Number	:

Provider Business Practice Location Address
First Line	:	20577 AMBERFIELD DR
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34638-4323
Country	:	US
Telephone Number	:	813-909-7451
Fax Number	:

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

Provider Enumeration Date	:	05/02/2018
Last Update Date	:	10/06/2020

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