Healthcare Provider Details

I. General information

NPI: 1336637404
Provider Name (Legal Business Name): MICHAEL ADAMS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2018
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N MISSOURI AVE
CLEARWATER FL
33755-4862
US

IV. Provider business mailing address

100 N MISSOURI AVE
CLEARWATER FL
33755-4862
US

V. Phone/Fax

Practice location:
  • Phone: 727-598-4437
  • Fax: 727-237-2918
Mailing address:
  • Phone: 727-598-4437
  • Fax: 727-231-2918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberOS16499
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: