MEDICARE: CLIFFORD ADAM MEDICAL CENTER, LLC

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1548195415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLIFFORD ADAM MEDICAL CENTER, LLC

Provider Business Mailing Address
First Line	:	1261 N PINE HILLS RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-6228
Country	:	US
Telephone Number	:	407-203-2179
Fax Number	:

Provider Business Practice Location Address
First Line	:	1261 N PINE HILLS RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-6228
Country	:	US
Telephone Number	:	407-203-2179
Fax Number	:

Authorized Official
Title or Position	:	AMBR
Name	:	CLIFFORD CLAUDE ADAM
Credential	:	MD
Telephone Number	:	201-450-5221

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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