Provider Demographics
NPI:1891788410
Name:ADAMCIK, RAYMOND D (MD)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:D
Last Name:ADAMCIK
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 1:1290 HIGHWAY A1A STE 103
Mailing Address - Street 2:
Mailing Address - City:SATELLITE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-2477
Mailing Address - Country:US
Mailing Address - Phone:321-690-0003
Mailing Address - Fax:321-214-2803
Practice Address - Street 1:1290 HIGHWAY A1A STE 103
Practice Address - Street 2:
Practice Address - City:SATELLITE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-2477
Practice Address - Country:US
Practice Address - Phone:321-690-0003
Practice Address - Fax:321-214-2803
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME71737207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1760629612OtherNPI ORG -
FL1760629612OtherNPI ORG -
FLG39547Medicare UPIN