Provider Demographics
NPI:1003558982
Name:ADAMS, ERICA ELIZABETH (DC)
Entity Type:Individual
Prefix:MS
First Name:ERICA
Middle Name:ELIZABETH
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4904 CLYDE MORRIS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32129-9656
Mailing Address - Country:US
Mailing Address - Phone:386-307-8207
Mailing Address - Fax:
Practice Address - Street 1:4904 CLYDE MORRIS BLVD STE A
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32129-9656
Practice Address - Country:US
Practice Address - Phone:386-307-8207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13939111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor