Healthcare Provider Details

I. General information

NPI: 1548172141
Provider Name (Legal Business Name): MS. MARIA LIZABETH ADAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 GASTON CT
ST AUGUSTINE FL
32092-1582
US

IV. Provider business mailing address

71 GASTON CT
ST AUGUSTINE FL
32092-1582
US

V. Phone/Fax

Practice location:
  • Phone: 904-606-6200
  • Fax: 904-606-6600
Mailing address:
  • Phone: 904-606-6200
  • Fax: 904-606-6600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberL26000373483
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: