Provider Demographics
NPI:1649224114
Name:ADAMS, KATIA M (MD)
Entity Type:Individual
Prefix:DR
First Name:KATIA
Middle Name:M
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 10TH ST E
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-4134
Mailing Address - Country:US
Mailing Address - Phone:941-847-7903
Mailing Address - Fax:941-847-7919
Practice Address - Street 1:1120 10TH ST E
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-4134
Practice Address - Country:US
Practice Address - Phone:941-847-7903
Practice Address - Fax:941-847-7919
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME136892207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64050875Medicaid
OH2323186Medicaid
KYP00839911OtherRAILROAD MEDICARE
FL101160300Medicaid
FLKJ487OtherMEDICARE
KYP00839911OtherRAILROAD MEDICARE
KY080189335OtherRAILROAD MEDICARE