Provider Demographics
NPI:1184909913
Name:PALMA CEIA FAMILY CARE, P.L.
Entity type:Organization
Organization Name:PALMA CEIA FAMILY CARE, P.L.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:ADAMI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:813-402-8779
Mailing Address - Street 1:2506 S MACDILL AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-7261
Mailing Address - Country:US
Mailing Address - Phone:813-402-8779
Mailing Address - Fax:813-443-2113
Practice Address - Street 1:2506 S MACDILL AVE
Practice Address - Street 2:SUITE A
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-7261
Practice Address - Country:US
Practice Address - Phone:813-402-8779
Practice Address - Fax:813-443-2113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-12
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10332261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH215ZMedicare PIN