MEDICARE: ADAM HURLBURT MS, LMFT

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	106H00000X	Marriage & Family Therapist	MT4529	FL

General Provider Information

NPI Number	:	1861252744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM HURLBURT MS, LMFT

Provider Business Mailing Address
First Line	:	8328 NW 26TH CT
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-3183
Country	:	US
Telephone Number	:	802-730-6975
Fax Number	:

Provider Business Practice Location Address
First Line	:	8328 NW 26TH CT
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-3183
Country	:	US
Telephone Number	:	802-730-6975
Fax Number	:

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

Provider Enumeration Date	:	03/19/2024
Last Update Date	:	03/19/2024

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