Provider Demographics
NPI:1285000208
Name:JONES, ADAM
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5450 MACDONALD AVE
Mailing Address - Street 2:#1
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-5903
Mailing Address - Country:US
Mailing Address - Phone:305-294-8866
Mailing Address - Fax:
Practice Address - Street 1:5450 MACDONALD AVE
Practice Address - Street 2:#1
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-5903
Practice Address - Country:US
Practice Address - Phone:305-294-8866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT30416225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist