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NPI Code Detail

MEDICARE: JOHN P ADAMS MD PA

MEDICARE: JOHN P ADAMS MD PA
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
12088P0231XPediatric Urology PhysicianME 0011044FL

General Provider Information

NPI Number : 1295049138
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN P ADAMS MD PA
Provider Business Mailing Address
First Line : 200 DOCTORS DR
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-4559
Country : US
Telephone Number : 850-769-1694
Fax Number :
Provider Business Practice Location Address
First Line : 200 DOCTORS DR
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-4559
Country : US
Telephone Number : 850-769-1694
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOHN P ADAMS
Credential : M.D.
Telephone Number : 850-769-1694
Provider Enumeration Date : 08/03/2010
Last Update Date : 08/03/2010

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