Adam Podraza
Chiropractor in Ponte Vedra, FL. Individual provider (NPI-1).
NPI number1740648385
StatusActive
Last updated in NPPESFeb 23, 2017
Details
- NPI
- 1740648385
- Entity type
- Individual (NPI-1)
- Name
- Adam Podraza
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2016
- Last updated
- Feb 23, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH12116 | FL | Yes |
Practice location
145 Hilden RdSuite 123
Ponte Vedra, FL 32081-8401
Phone 904-395-5371
Mailing address
148 Split Oak RdSt Augustine, FL 32092-5444
Phone 904-395-5371
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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