Healthcare Provider Details

I. General information

NPI: 1891741534
Provider Name (Legal Business Name): ADAM J GETZELS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 10/17/2024
Certification Date: 10/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2881 HYDE PARK ST
SARASOTA FL
34239-3228
US

IV. Provider business mailing address

2881 HYDE PARK ST
SARASOTA FL
34239-3228
US

V. Phone/Fax

Practice location:
  • Phone: 941-366-2460
  • Fax: 941-366-3015
Mailing address:
  • Phone: 941-366-5440
  • Fax: 941-366-5793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberOS9550
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS9550
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: