Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RP1001X | Pulmonary Disease | 125.067970 | IL |
Y | 2084N0402X | Child Neurologist | ME124299 | FL |
NPI | 1275832438 |
---|---|
Provider Name | Dr. Adam Scott Rappoport |
First Address | Jacksonville, FL 32256-0532 |
Second Address | Jacksonville, FL 32207-8426 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2011 |
Last Update Date | 17/03/2018 |