Healthcare Provider Details

I. General information

NPI: 1740266337
Provider Name (Legal Business Name): CHRISTOPHER R ADAMS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2005
Last Update Date: 08/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1285 CREEKSIDE BLVD E #102
NAPLES FL
34109
US

IV. Provider business mailing address

1285 CREEKSIDE BLVD E #102
NAPLES FL
34109
US

V. Phone/Fax

Practice location:
  • Phone: 239-624-0310
  • Fax: 239-624-0311
Mailing address:
  • Phone: 239-624-0310
  • Fax: 239-624-0311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberME98294
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME98294
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: