Provider Demographics
NPI:1740489335
Name:ADAMS, ABIGAIL LYNN (MD)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:LYNN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1530 CORNERSTONE BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32117-7128
Mailing Address - Country:US
Mailing Address - Phone:386-274-7840
Mailing Address - Fax:386-274-7841
Practice Address - Street 1:1530 CORNERSTONE BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32117-7128
Practice Address - Country:US
Practice Address - Phone:386-274-7840
Practice Address - Fax:386-274-7841
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SCLL29806207P00000X
FL107477207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine