Healthcare Provider Details

I. General information

NPI: 1194659763
Provider Name (Legal Business Name): PAUL ADKINS APRN, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12424 BRANTLEY COMMONS CT
FORT MYERS FL
33907-5680
US

IV. Provider business mailing address

1819 SW 39TH TER
CAPE CORAL FL
33914-5510
US

V. Phone/Fax

Practice location:
  • Phone: 239-322-3815
  • Fax:
Mailing address:
  • Phone: 727-687-5763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11048240
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: