Provider Demographics
NPI:1457513160
Name:STEWART-ADAMS, PATRICIA SUSAN (AP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:SUSAN
Last Name:STEWART-ADAMS
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7617 DARTMOUTH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-6735
Mailing Address - Country:US
Mailing Address - Phone:727-458-6034
Mailing Address - Fax:
Practice Address - Street 1:5141 SEMINOLE BLVD STE C
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33708-3365
Practice Address - Country:US
Practice Address - Phone:727-458-6034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1480171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist