Healthcare Provider Details

I. General information

NPI: 1265627152
Provider Name (Legal Business Name): RYAN ADAMI D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2007
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2506 S MACDILL AVE
TAMPA FL
33629-7261
US

IV. Provider business mailing address

2506 S MACDILL AVE STE A
TAMPA FL
33629-7261
US

V. Phone/Fax

Practice location:
  • Phone: 813-402-8779
  • Fax:
Mailing address:
  • Phone: 813-605-1977
  • Fax: 813-378-3004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberOS10332
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS10332
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: