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NPI Code Detail

MEDICARE: MR. MAURICE JAMES ADAMS LMT

MEDICARE: MR. MAURICE JAMES ADAMS LMT
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
1225700000XMassage TherapistMA30471FL

General Provider Information

NPI Number : 1205030590
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MAURICE JAMES ADAMS LMT
Provider Business Mailing Address
First Line : 1032 NE 5TH ST
Second Line :
City : GAINESVILLE
State : FL
Zip : 32601-4341
Country : US
Telephone Number : 352-338-1295
Fax Number : 352-338-1295
Provider Business Practice Location Address
First Line : 1240 NW 11TH AVE
Second Line :
City : GAINESVILLE
State : FL
Zip : 32601-4146
Country : US
Telephone Number : 352-215-3738
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2007
Last Update Date : 07/08/2007

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