MEDICARE: VICTORIA ADCOCK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	APRN11046307	FL

General Provider Information

NPI Number	:	1013857317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA ADCOCK

Provider Business Mailing Address
First Line	:	2900 NE 7TH AVE UNIT 2101
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-4443
Country	:	US
Telephone Number	:	859-559-2619
Fax Number	:

Provider Business Practice Location Address
First Line	:	1324 SE 17TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-1708
Country	:	US
Telephone Number	:	859-559-2619
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

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Directions to “ VICTORIA ADCOCK ” Practice Location

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