Individual
DEETA WIDMER ADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P., L.M.T
Contact information
Practice address
2411 NW 41ST ST, SUITE D, GAINESVILLE, FL 32606-7499
(352) 375-0235
(352) 335-3939
Mailing address
1771 SW 35TH AVE, GAINESVILLE, FL 32608-3427
(352) 375-6626
(352) 335-3939
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP665
FL
225700000X
Massage Therapist
MA8292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP665
ACUPUNCTURE LICENSE
FL
01
—
C0243
ACUPUNCTURE PROVIDER BCBS
FL
01
—
C5562
MASSAGE PROVIDER BCBS
FL
01
—
MA8292
MASSAGE STATE LICENSE
FL
Enumeration date
04/10/2007
Last updated
12/03/2015
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