Individual
DR. KEISHA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
(813) 974-4325
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME152250
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111585500
—
FL
05
—
1164771531
—
WI
01
—
7YQ0B
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/31/2012
Last updated
10/18/2021
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