Shelli M Adam, P.A.C.
Physician Assistant, Medical in Sarasota, FL. Individual provider (NPI-1).
NPI number1235262866
StatusActive
Last updated in NPPESMay 8, 2024
Details
- NPI
- 1235262866
- Entity type
- Individual (NPI-1)
- Name
- Ms. Shelli M Adam
- Credential
- P.A.C.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 13, 2007
- Certification date
- May 8, 2024
- Last updated
- May 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA 9103984 | FL | Yes |
Practice location
1217 S East Ave Ste 210Sarasota, FL 34239-2329
Phone 941-366-4015 · Fax 941-366-4125
Mailing address
1217 S East Ave Ste 210Sarasota, FL 34239-2329
Phone 941-366-4015 · Fax 941-366-4125
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