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LAUREN KELLY ADAMS PA-C
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1568891281
Individual Registrant: LAUREN KELLY ADAMS PA-C
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
601 5TH ST S STE 302 ST PETERSBURG, FL 33701-4804 US
Tel: 727-767-4176 Fax: 727-767-4379
Tel: 727-767-4176 Fax: 727-767-4379
Contact information for business:
601 5TH ST S STE 302 ST PETERSBURG, FL 33701-4804 US
Tel: 727-767-4176 Fax: 727-767-4379
Tel: 727-767-4176 Fax: 727-767-4379
Registration Information:
NPI: 1568891281
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | FL | PA9107499 |
| N | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | FL | PA9107499 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 010162600 | FL | 05 |
