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General NPI Number Information
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NPI Number | 1427013796
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Entity Type | Individual
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Provider Name | ANTHONY B ADELSON MD
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 9628 WEXFORD RD
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City | JACKSONVILLE
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State | FL
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Zip | 32257-5751
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Country | US
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Telephone | 904-945-1901
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 ST FRANCIS WAY SUITE 215
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City | LAFAYETTE
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State | IN
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Zip | 47905-4925
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Country | US
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Telephone | 765-446-4819
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Fax | 756-446-4859
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 21622
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 21622
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | ME65324
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 01073672A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 01073672A
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License Number State | IN
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