Provider Demographics
NPI:1205608395
Name:ADONICA'S SERVICES
Entity type:Organization
Organization Name:ADONICA'S SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATIENT CARE TECHNICIAN/ LABORATORY
Authorized Official - Prefix:MS
Authorized Official - First Name:ADONICA
Authorized Official - Middle Name:NAKKEDA
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-860-1501
Mailing Address - Street 1:820 W VOLUSIA AVE # 82
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32720-6651
Mailing Address - Country:US
Mailing Address - Phone:407-860-1501
Mailing Address - Fax:
Practice Address - Street 1:820 W VOLUSIA AVE # 82
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32720-6651
Practice Address - Country:US
Practice Address - Phone:407-860-1501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224ZF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantFeeding, Eating & SwallowingGroup - Multi-Specialty
No224ZR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantDriving and Community MobilityGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty