Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | ME47878 | FL |
NPI | 1043240617 |
---|---|
Provider Name | Dr. Jose Adams |
First Address | Miami Beach, FL 33140-2800 |
Second Address | Miami Beach, FL 33140 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 26/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
042830200 | (05) | FL |
E21823 | (02) |