Provider Demographics
NPI:1396856308
Name:STUART, ADAM MARC (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:MARC
Last Name:STUART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1443 NE 8TH STREET
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-6567
Mailing Address - Country:US
Mailing Address - Phone:305-246-3864
Mailing Address - Fax:863-771-5947
Practice Address - Street 1:1443 NE 8TH STREET
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-6567
Practice Address - Country:US
Practice Address - Phone:305-246-3864
Practice Address - Fax:863-771-5947
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL0062068208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF41836Medicare UPIN