Healthcare Provider Details

I. General information

NPI: 1437917515
Provider Name (Legal Business Name): SOUTH FLORIDA TRAUMA AND ACUTE CARE SURGERY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2024
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 45TH ST
MANGONIA PARK FL
33407-2413
US

IV. Provider business mailing address

1620 SOUTHERN BLVD
WEST PALM BEACH FL
33406-3242
US

V. Phone/Fax

Practice location:
  • Phone: 561-844-6300
  • Fax: 702-977-1496
Mailing address:
  • Phone: 561-799-9559
  • Fax: 561-437-8217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. ADAM JOSEPH MANN
Title or Position: PHYSICIAN
Credential: MD
Phone: 561-799-9559