Healthcare Provider Details

I. General information

NPI: 1093153454
Provider Name (Legal Business Name): ADRIENNE D'ANNE WORKMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2013
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4729 N HABANA AVE
TAMPA FL
33614-7113
US

IV. Provider business mailing address

4729 N HABANA AVE
TAMPA FL
33614-7113
US

V. Phone/Fax

Practice location:
  • Phone: 813-251-8444
  • Fax: 813-254-6414
Mailing address:
  • Phone: 813-251-8444
  • Fax: 813-254-6414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME179890
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME179890
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: