Provider Demographics
NPI:1811092737
Name:ADKINS, HURSEL LEE JR (DO)
Entity type:Individual
Prefix:DR
First Name:HURSEL
Middle Name:LEE
Last Name:ADKINS
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:23343 NW COUNTY ROAD 236
Mailing Address - Street 2:
Mailing Address - City:HIGH SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32643-9669
Mailing Address - Country:US
Mailing Address - Phone:386-454-0698
Mailing Address - Fax:386-454-0690
Practice Address - Street 1:630 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:FL
Practice Address - Zip Code:32696-1705
Practice Address - Country:US
Practice Address - Phone:352-528-0587
Practice Address - Fax:352-528-4834
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2024-11-06
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Provider Licenses
StateLicense IDTaxonomies
FLOS5720207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL052796300Medicaid
FL052796300Medicaid
FL80232SMedicare ID - Type Unspecified