Individual
ANTHONY B ADELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9628 WEXFORD RD, JACKSONVILLE, FL 32257-5751
(904) 945-1901
Mailing address
3900 ST FRANCIS WAY, SUITE 215, LAFAYETTE, IN 47905-4925
(765) 446-4819
(756) 446-4859
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01073672A
IN
2085R0202X
Diagnostic Radiology Physician
21622
NE
2085R0204X
Vascular & Interventional Radiology Physician
21622
NE
2085R0204X
Vascular & Interventional Radiology Physician
ME65324
FL
208D00000X
General Practice Physician
01073672A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00145780
—
FL
05
—
001457800
—
FL
01
—
254903400
MEDICAID
FL
05
—
254903400
—
FL
05
—
47078557572
—
NE
Enumeration date
04/19/2006
Last updated
02/04/2025
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