Healthcare Provider Details

I. General information

NPI: 1174539696
Provider Name (Legal Business Name): ADAMS & STEPHENS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/27/2020
Certification Date: 07/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4631 N. CONGRESS AVENUE STE 101
WEST PALM BEACH FL
33407
US

IV. Provider business mailing address

4631 N. CONGRESS AVENUE STE 101
WEST PALM BEACH FL
33407
US

V. Phone/Fax

Practice location:
  • Phone: 561-840-1960
  • Fax: 561-863-8155
Mailing address:
  • Phone: 561-840-1960
  • Fax: 561-863-8155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: LAWRENCE M ADAMS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 561-840-1960