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NPI Code Detail

MEDICARE: ADAMANTIA ANNA MAMMAS M.D.

MEDICARE:   ADAMANTIA ANNA MAMMAS  M.D.
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
1207PP0204XPediatric Emergency Medicine (Emergency Medicine) PhysicianME55533FL

General Provider Information

NPI Number : 1093822629
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAMANTIA ANNA MAMMAS M.D.
Provider Business Mailing Address
First Line : 3219 S HIGHWAY A1A
Second Line :
City : MELBOURNE BEACH
State : FL
Zip : 32951-3432
Country : US
Telephone Number : 407-455-0829
Fax Number :
Provider Business Practice Location Address
First Line : 5900 S JOHN YOUNG PKWY
Second Line :
City : ORLANDO
State : FL
Zip : 32839-3716
Country : US
Telephone Number : 407-398-6470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2006
Last Update Date : 01/12/2023

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Directions to “ ADAMANTIA ANNA MAMMAS M.D.” Practice Location

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