Provider Demographics
NPI:1598772485
Name:ADAMS, GREGORY F (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:F
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1880 82ND AVENUE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:VERO BCH
Mailing Address - State:FL
Mailing Address - Zip Code:32966-6993
Mailing Address - Country:US
Mailing Address - Phone:772-299-4419
Mailing Address - Fax:772-299-4493
Practice Address - Street 1:1880 82ND AVENUE
Practice Address - Street 2:SUITE 103
Practice Address - City:VERO BCH
Practice Address - State:FL
Practice Address - Zip Code:32966-6993
Practice Address - Country:US
Practice Address - Phone:772-299-4419
Practice Address - Fax:772-299-4493
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME457162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL265178500Medicaid
FL265178500Medicaid
D54509Medicare UPIN
FL36406YMedicare PIN