Provider Demographics
NPI:1568466449
Name:ADAMS, ROBERT MICHAEL (CRNA, MS)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:MICHAEL
Last Name:ADAMS
Suffix:
Gender:M
Credentials:CRNA, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2784 ISLAND POND LN
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-7526
Mailing Address - Country:US
Mailing Address - Phone:215-519-3384
Mailing Address - Fax:215-428-1237
Practice Address - Street 1:2784 ISLAND POND LN
Practice Address - Street 2:ANESTHESIA STAT LLC
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-7526
Practice Address - Country:US
Practice Address - Phone:215-519-3384
Practice Address - Fax:215-428-1237
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2010-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9252584367500000X
PARN342424L367500000X
NJAPN 26NJ00213800367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ017735CK2Medicare PIN