Provider Demographics
NPI:1891042867
Name:LOWELL A ADKINS M.D.,P.A.
Entity Type:Organization
Organization Name:LOWELL A ADKINS M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERRILL
Authorized Official - Middle Name:
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-970-3484
Mailing Address - Street 1:3135 W ATLANTIC BLVD
Mailing Address - Street 2:SUITE 14 & 15
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-2565
Mailing Address - Country:US
Mailing Address - Phone:954-970-3484
Mailing Address - Fax:954-970-3487
Practice Address - Street 1:3135 W ATLANTIC BLVD
Practice Address - Street 2:SUITE 14 & 15
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:954-970-3487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME38661261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL029316400Medicaid
FLD27777Medicare UPIN