Provider Demographics
NPI:1841909710
Name:ADAMS, RYAN MORGAN (PA-C)
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:MORGAN
Last Name:ADAMS
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:4881 NW 8TH AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4582
Mailing Address - Country:US
Mailing Address - Phone:352-416-1082
Mailing Address - Fax:352-373-6144
Practice Address - Street 1:4343 W NEWBERRY RD
Practice Address - Street 2:SUITE 1
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2822
Practice Address - Country:US
Practice Address - Phone:352-331-3502
Practice Address - Fax:352-331-3488
Is Sole Proprietor?:No
Enumeration Date:2022-11-21
Last Update Date:2024-12-04
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Provider Licenses
StateLicense IDTaxonomies
FL9116774207R00000X, 363AM0700X
FLPA9116774363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical