Individual
MARK SHANNON ADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 W OAK ST STE 360, KISSIMMEE, FL 34741-4910
(407) 846-0090
(407) 846-0072
Mailing address
720 W OAK ST STE 360, KISSIMMEE, FL 34741-4910
(407) 846-0090
(407) 846-0072
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME132078
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01077710
—
NY
05
—
021191400
—
FL
01
—
02203Y
GHI MEDICARE
NY
05
—
2508605
—
NJ
01
—
3EIS3
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/09/2006
Last updated
07/21/2022
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