MEDICARE: ADAM S PLOTKIN 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
1	207N00000X	Dermatology Physician		FL

General Provider Information

NPI Number	:	1407805021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAM S PLOTKIN MD PA

Provider Business Mailing Address
First Line	:	5210 LINTON BLVD
Second Line	:	SUITE 307
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-6542
Country	:	US
Telephone Number	:	561-499-0660
Fax Number	:	561-499-4094

Provider Business Practice Location Address
First Line	:	3654 SW 30TH AVE
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-3700
Country	:	US
Telephone Number	:	772-210-7555
Fax Number	:	772-266-8207

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ADAM S PLOTKIN
Credential	:	M.D.
Telephone Number	:	772-210-7555

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	10/21/2022

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