Healthcare Provider Details

I. General information

NPI: 1962468884
Provider Name (Legal Business Name): CHRISTOPHER DARRELL ADAMSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 07/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5741 BEE RIDGE RD SUITE 510
SARASOTA FL
34233-5064
US

IV. Provider business mailing address

5741 BEE RIDGE RD SUITE 510
SARASOTA FL
34233-5064
US

V. Phone/Fax

Practice location:
  • Phone: 941-343-9900
  • Fax: 941-343-9927
Mailing address:
  • Phone: 941-343-9900
  • Fax: 941-343-9927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberME72050
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: