MEDICARE: RYAN ADAMI D.O.

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	208000000X	Pediatrics Physician	OS10332	FL
2	207R00000X	Internal Medicine Physician	OS10332	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00914248	OTHER	FL	RR MEDICARE
3	P00977742	OTHER	FL	RR MEDICARE - UCC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265627152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN ADAMI D.O.

Provider Business Mailing Address
First Line	:	2506 S MACDILL AVE STE A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-7261
Country	:	US
Telephone Number	:	813-605-1977
Fax Number	:	813-378-3004

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

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

Provider Enumeration Date	:	09/13/2007
Last Update Date	:	03/31/2026

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Directions to “ RYAN ADAMI D.O.” Practice Location

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