Provider Demographics
NPI:1972959260
Name:TUFTS, ADAM COREY (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:COREY
Last Name:TUFTS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5179 S JOHN YOUNG PKWY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-5021
Mailing Address - Country:US
Mailing Address - Phone:079-561-8954
Mailing Address - Fax:407-816-9569
Practice Address - Street 1:5179 S JOHN YOUNG PKWY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-5021
Practice Address - Country:US
Practice Address - Phone:407-956-1895
Practice Address - Fax:407-816-9569
Is Sole Proprietor?:No
Enumeration Date:2016-05-05
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1001111N00000X
FLCH12465111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor