MEDICARE: TONIETTE LEANN ADAMS

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	251E00000X	Home Health Agency	567	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	567	OTHER	FL	567

General Provider Information

NPI Number	:	1437864980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONIETTE LEANN ADAMS

Provider Business Mailing Address
First Line	:	4412 HAGEN AVE
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34608-3511
Country	:	US
Telephone Number	:	352-366-1283
Fax Number	:

Provider Business Practice Location Address
First Line	:	4412 HAGEN AVE
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34608-3511
Country	:	US
Telephone Number	:	352-366-1283
Fax Number	:

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

Provider Enumeration Date	:	01/19/2023
Last Update Date	:	01/19/2023

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