Provider Demographics
NPI:1891741534
Name:GETZELS, ADAM J (DO)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:J
Last Name:GETZELS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3333 CATTLEMEN RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-6056
Mailing Address - Country:US
Mailing Address - Phone:941-371-3337
Mailing Address - Fax:941-379-3011
Practice Address - Street 1:3333 CATTLEMEN RD
Practice Address - Street 2:SUITE 210
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6056
Practice Address - Country:US
Practice Address - Phone:941-371-3337
Practice Address - Fax:941-379-3011
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS9550207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL278098400Medicaid
FL54285OtherFL BC/BS
FL278098400Medicaid
I29181Medicare UPIN