Provider Demographics
NPI:1265425243
Name:ADAIR, JAMES PATRICK II (PA-C)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:PATRICK
Last Name:ADAIR
Suffix:II
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2699
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32513-2699
Mailing Address - Country:US
Mailing Address - Phone:850-494-9000
Mailing Address - Fax:850-474-4123
Practice Address - Street 1:4541 N DAVIS HWY
Practice Address - Street 2:SUITE A
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2783
Practice Address - Country:US
Practice Address - Phone:850-494-9000
Practice Address - Fax:850-474-4123
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9105301363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL97394OtherMEDICARE
FL001808600Medicaid