Provider Demographics
NPI:1265273775
Name:ADAMI, ADRIANE STACIE (APRN)
Entity type:Individual
Prefix:
First Name:ADRIANE
Middle Name:STACIE
Last Name:ADAMI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6921 HUGH DR
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32404-8418
Mailing Address - Country:US
Mailing Address - Phone:850-615-9090
Mailing Address - Fax:
Practice Address - Street 1:237 E BALDWIN RD STE 103
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4463
Practice Address - Country:US
Practice Address - Phone:850-770-4051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF06240048207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism