MEDICARE: MR. CLIFFORD CLAUDE ADAM M.D.

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	208D00000X	General Practice Physician	ACN240	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1568662559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CLIFFORD CLAUDE ADAM M.D.

Provider Business Mailing Address
First Line	:	1261 N PINE HILLS RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-6228
Country	:	US
Telephone Number	:	201-450-5221
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	:	201-450-5221
Fax Number	:

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

Provider Enumeration Date	:	07/19/2007
Last Update Date	:	02/23/2026

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