Provider Demographics
NPI:1518076009
Name:ADKINS, LOWELL ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:LOWELL
Middle Name:ANTHONY
Last Name:ADKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2228
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33061-2228
Mailing Address - Country:US
Mailing Address - Phone:954-970-3484
Mailing Address - Fax:
Practice Address - Street 1:3135 W ATLANTIC BLVD
Practice Address - Street 2:SUITE 14
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-2565
Practice Address - Country:US
Practice Address - Phone:954-970-3484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME38661207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL029316400Medicaid
FL029316400Medicaid
FL94202Medicare ID - Type Unspecified