Provider Demographics
NPI:1851375182
Name:ADAMS, NELSON LEON III (MD, FACOG)
Entity Type:Individual
Prefix:DR
First Name:NELSON
Middle Name:LEON
Last Name:ADAMS
Suffix:III
Gender:M
Credentials:MD, FACOG
Other - Prefix:DR
Other - First Name:NELSON
Other - Middle Name:LEON
Other - Last Name:ADAMS
Other - Suffix:III
Other - Last Name Type:Professional Name
Other - Credentials:MD, FACOG
Mailing Address - Street 1:100 NW 170TH ST
Mailing Address - Street 2:SUITE 304
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33169-5513
Mailing Address - Country:US
Mailing Address - Phone:305-653-4105
Mailing Address - Fax:305-652-3566
Practice Address - Street 1:100 NW 170TH ST STE 304
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33169-5511
Practice Address - Country:US
Practice Address - Phone:305-653-4105
Practice Address - Fax:305-652-3566
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0045738207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL064964300Medicaid
FL064964300Medicaid
FL02419RMedicare ID - Type Unspecified