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NPI Code Detail

MEDICARE: MS. LAUREN ADKINS MOT

MEDICARE: MS. LAUREN ADKINS MOT
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
1222Q00000XDevelopmental TherapistOT11230FL
2252Y00000XEarly Intervention Provider AgencyOT11230FL
3225X00000XOccupational TherapistOT11230FL

Other Identifiers

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

General Provider Information

NPI Number : 1568629442
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAUREN ADKINS MOT
Provider Business Mailing Address
First Line : 781 SW 148TH AVE APT 1505
Second Line :
City : DAVIE
State : FL
Zip : 33325-3094
Country : US
Telephone Number : 954-496-0442
Fax Number :
Provider Business Practice Location Address
First Line : 9508 GRIFFIN RD
Second Line :
City : COOPER CITY
State : FL
Zip : 33328-3416
Country : US
Telephone Number : 954-689-0730
Fax Number : 888-725-9013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2008
Last Update Date : 03/21/2018

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