Healthcare Provider Details

I. General information

NPI: 1700887775
Provider Name (Legal Business Name): RICHARD K. ADKINS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 S HARBOR CITY BLVD STE A
MELBOURNE FL
32901-1500
US

IV. Provider business mailing address

5552 FRANKLIN PIKE STE. 100
NASHVILLE TN
37220-2130
US

V. Phone/Fax

Practice location:
  • Phone: 321-254-9060
  • Fax:
Mailing address:
  • Phone: 615-377-7765
  • Fax: 615-730-0314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberME46647
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberME46647
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberME46647
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: