Healthcare Provider Details

I. General information

NPI: 1316919376
Provider Name (Legal Business Name): ADLAI L PAPPY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1613 HARRISON PKWY STE 200 STE 200
SUNRISE FL
33323-2853
US

IV. Provider business mailing address

1613 HARRISON PKWY STE 200
SUNRISE FL
33323-2896
US

V. Phone/Fax

Practice location:
  • Phone: 954-838-2592
  • Fax:
Mailing address:
  • Phone: 954-838-2592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number042.0015505
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD0060523
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number01092181A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: