Provider Demographics
NPI:1891909875
Name:ADAMS, SIRRISA L (CMA)
Entity Type:Individual
Prefix:MS
First Name:SIRRISA
Middle Name:L
Last Name:ADAMS
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4477 MEDICAL CTR WAY,STE#A
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-3286
Mailing Address - Country:US
Mailing Address - Phone:561-840-7977
Mailing Address - Fax:
Practice Address - Street 1:4477 MEDICAL CTR WAY,STE#A
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-3286
Practice Address - Country:US
Practice Address - Phone:561-840-7977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist