Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 271159 | NY |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME 124045 | FL |
NPI | 1215170808 |
---|---|
Provider Name | Dr. Adam Jason Lipman |
First Address | Fort Lauderdale, FL 33334-3522 |
Second Address | Fort Lauderdale, FL 33334-3522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2009 |
Last Update Date | 17/08/2020 |