Healthcare Provider Details

I. General information

NPI: 1144989989
Provider Name (Legal Business Name): BADRIA CHRISTINE ADAMO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2021
Last Update Date: 06/14/2024
Certification Date: 06/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4612 N HABANA AVE FL 2
TAMPA FL
33614-7101
US

IV. Provider business mailing address

4612 N HABANA AVE FL 2
TAMPA FL
33614-7101
US

V. Phone/Fax

Practice location:
  • Phone: 813-875-9000
  • Fax: 813-874-3278
Mailing address:
  • Phone: 813-875-9000
  • Fax: 813-874-3278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11016956
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: