MEDICARE: DR. OMAR J. ADAMS MD

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	207P00000X	Emergency Medicine Physician	ME0043572	FL
2	207P00000X	Emergency Medicine Physician	28613	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MD2011-0670	OTHER	NM	STATE MEDICAL LICENSE
2	ME43572	OTHER	FL	STATE MEDICAL LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154494805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OMAR J. ADAMS MD

Provider Business Mailing Address
First Line	:	103 SHADY BRANCH TRL
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-4930
Country	:	US
Telephone Number	:	386-672-9667
Fax Number	:	386-673-6364

Provider Business Practice Location Address
First Line	:	103 SHADY BRANCH TRL
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-4930
Country	:	US
Telephone Number	:	386-672-9667
Fax Number	:	386-673-6364

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

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	12/01/2015

Similar Medicare Providers

1740271642 — DR. LEANN J. MANDESE O.D.
Practice Location Address:

2194 A1A HWY , SUITE 109
INDIAN HARBOUR BEACH, FL
32937-4930

Practice Phone: 321-777-1670
Practice Fax: 321-773-0187

1245211093 — DR. EDWARD V LAIBL OD
Practice Location Address:

2194 HIGHWAY A1A , SUITE 109
INDIAN HARBOUR BEACH, FL
32937-4930

Practice Phone: 321-777-1670
Practice Fax: 321-773-0187

1023079688 — DR. GEORGE OTTO MABRY JR D.P.M.
Practice Location Address:

2194 HWY A1A , SUITE 108
INDIAN HARBOUR BEACH, FL
32937-4930

Practice Phone: 321-777-9559
Practice Fax: 321-777-9558

1518925171 — DAVID HENRY FLETT LMHC
Practice Location Address:

2194 HWY A1A , SUITE 203
INDIAN HARBOUR BEACH, FL
32937-4930

Practice Phone: 321-630-3487
Practice Fax: 321-773-5479

1962440065 — CAROLE J RENNER LMHC
Practice Location Address:

2194 HIGHWAY A1A , STE 203
INDIAN HARBOUR BEACH, FL
32937-4930

Practice Phone: 321-777-8930
Practice Fax: 321-773-5479

1679639124 — JANE A PEACH LCSW
Practice Location Address:

2194 A1A HWY , SUITE 204
INDIAN HARBOUR BEACH, FL
32937-4930

Practice Phone: 321-848-1971
Practice Fax: 321-773-5479

Directions to “ DR. OMAR J. ADAMS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.