| Shannon P. Adams Corp | |
|
251 Maitland Ave Suite 307 B Altamonte Springs FL 32701-4914 | |
| (407) 973-7098 | |
| Not Available |
| Full Name | Shannon P. Adams Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 251 Maitland Ave, Altamonte Springs, Florida |
| Authorized Official Name and Position | Shannon Ponder Adams (PRESIDENT) |
| Authorized Official Contact | 4079737098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon P. Adams Corp 251 Maitland Ave Suite 307 B Altamonte Springs FL 32701-4914 Ph: (407) 973-7098 | Shannon P. Adams Corp 251 Maitland Ave Suite 307 B Altamonte Springs FL 32701-4914 Ph: (407) 973-7098 |
| NPI Number | 1619118734 |
|---|---|
| Provider Enumeration Date | 03/19/2009 |
| Last Update Date | 03/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619118734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH 6215 (Florida) | Primary |
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