Healthcare Provider Details

I. General information

NPI: 1710229208
Provider Name (Legal Business Name): KATHERINE MARIE ADAMS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2013
Last Update Date: 01/06/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8150 SW STATE ROAD 200 UNIT 400
OCALA FL
34481
US

IV. Provider business mailing address

8150 SW STATE ROAD 200 UNIT 400
OCALA FL
34481
US

V. Phone/Fax

Practice location:
  • Phone: 352-861-1667
  • Fax: 352-861-1659
Mailing address:
  • Phone: 352-861-1667
  • Fax: 352-861-1659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9287788
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: