Provider Demographics
NPI:1821897372
Name:MCQUAIG, ADAM L
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:L
Last Name:MCQUAIG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 FORESTRY DIVISION RD
Mailing Address - Street 2:
Mailing Address - City:LABELLE
Mailing Address - State:FL
Mailing Address - Zip Code:33935-3009
Mailing Address - Country:US
Mailing Address - Phone:863-674-4075
Mailing Address - Fax:
Practice Address - Street 1:1050 FORESTRY DIVISION RD
Practice Address - Street 2:
Practice Address - City:LABELLE
Practice Address - State:FL
Practice Address - Zip Code:33935-3009
Practice Address - Country:US
Practice Address - Phone:863-674-4075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL325746146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic