Provider Demographics
NPI:1205044542
Name:ADAMEDES, NIKE (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:NIKE
Middle Name:
Last Name:ADAMEDES
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7480 FAIRWAY DR STE 204
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-6879
Mailing Address - Country:US
Mailing Address - Phone:305-824-9292
Mailing Address - Fax:305-824-0033
Practice Address - Street 1:7480 FAIRWAY DR STE 204
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-6879
Practice Address - Country:US
Practice Address - Phone:305-824-9292
Practice Address - Fax:305-824-0033
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT25082251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic