MEDICARE: PALMA CEIA FAMILY CARE, P.L.

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	261QP2300X	Primary Care Clinic/Center	OS10332	FL

General Provider Information

NPI Number	:	1184909913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALMA CEIA FAMILY CARE, P.L.

Provider Business Mailing Address
First Line	:	2506 S MACDILL AVE
Second Line	:	SUITE A
City	:	TAMPA
State	:	FL
Zip	:	33629-7261
Country	:	US
Telephone Number	:	813-402-8779
Fax Number	:	813-443-2113

Provider Business Practice Location Address
First Line	:	2506 S MACDILL AVE
Second Line	:	SUITE A
City	:	TAMPA
State	:	FL
Zip	:	33629-7261
Country	:	US
Telephone Number	:	813-402-8779
Fax Number	:	813-443-2113

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RYAN JAMES ADAMI
Credential	:	D.O.
Telephone Number	:	813-402-8779

Provider Enumeration Date	:	10/12/2011
Last Update Date	:	10/19/2012

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