Provider Demographics
NPI:1477836872
Name:ADEEB, ALLAN JEROME (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:JEROME
Last Name:ADEEB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:171 INDIAN MOUND TRL
Mailing Address - Street 2:
Mailing Address - City:TAVERNIER
Mailing Address - State:FL
Mailing Address - Zip Code:33070-2140
Mailing Address - Country:US
Mailing Address - Phone:305-852-3428
Mailing Address - Fax:305-852-3428
Practice Address - Street 1:171 INDIAN MOUND TRL
Practice Address - Street 2:
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2140
Practice Address - Country:US
Practice Address - Phone:305-852-3428
Practice Address - Fax:305-852-3428
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 8283207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology