| Adaptive Medical Llc | |
|
2123 Grove St Sarasota FL 34239-4622 | |
| (239) 209-1415 | |
| Not Available |
| Full Name | Adaptive Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2123 Grove St, Sarasota, Florida |
| Authorized Official Name and Position | Christopher Matthew Duffy (OWNER) |
| Authorized Official Contact | 2392091415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adaptive Medical Llc 2123 Grove St Sarasota FL 34239-4622 Ph: (239) 209-1415 | Adaptive Medical Llc 2123 Grove St Sarasota FL 34239-4622 Ph: (239) 209-1415 |
| NPI Number | 1992306401 |
|---|---|
| Provider Enumeration Date | 11/03/2020 |
| Last Update Date | 11/03/2020 |
| Medicare PECOS PAC ID | 3476966573 |
|---|---|
| Medicare Enrollment ID | O20210111000781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992306401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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