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Individual

DR. ADAM MICHAEL CLOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., B.SC.

Contact information

Practice address
3425 BAYSIDE LAKES BLVD SE STE 110, PALM BAY, FL 32909-6867
(321) 312-3477
(321) 637-1598
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 312-3477

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME137068
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100486800
FL
01
KK405
MEDICARE
FL
Enumeration date
05/13/2014
Last updated
04/11/2022
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