Provider Demographics
NPI:1891089520
Name:ADAMS, JOHN TARRANT (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:TARRANT
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 NE PALM WAY
Mailing Address - Street 2:
Mailing Address - City:PINETTA
Mailing Address - State:FL
Mailing Address - Zip Code:32350-2285
Mailing Address - Country:US
Mailing Address - Phone:850-929-2326
Mailing Address - Fax:
Practice Address - Street 1:141 NE PALM WAY
Practice Address - Street 2:
Practice Address - City:PINETTA
Practice Address - State:FL
Practice Address - Zip Code:32350-2285
Practice Address - Country:US
Practice Address - Phone:850-929-2326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-28
Last Update Date:2011-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000024704207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine