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Individual

DR. ADAM L STOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
6718 N NEBRASKA AVE, SUITE 1, TAMPA, FL 33604
(813) 822-6804
(813) 522-6722
Mailing address
6718 N NEBRASKA AVE, SUITE 1, TAMPA, FL 33604
(813) 822-6804
(813) 522-6722

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10219
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008402800
FL
Enumeration date
04/06/2011
Last updated
12/17/2021
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