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Individual

MR. ADAM MICHAEL BOYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1187 CEDAR BAY RD, JACKSONVILLE, FL 32218-4938
(904) 509-7096
Mailing address
1187 CEDAR BAY RD, JACKSONVILLE, FL 32218-4938
(904) 509-7096

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP3282842
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 3282842
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
307430700
FL
Enumeration date
03/11/2006
Last updated
01/31/2013
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