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Individual

DR. ALLAN ADAM ADAJAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2100 OCOEE APOPKA RD STE 220, APOPKA, FL 32703-9210
(407) 303-4190
(407) 303-4192
Mailing address
2100 OCOEE APOPKA RD STE 220, APOPKA, FL 32703-9210
(407) 303-4190
(407) 303-4192

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036124772
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
ME143561
FL
207V00000X
Obstetrics & Gynecology Physician
N5518
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036124772
IL
05
105789200
FL
01
1396142857
EMPLOYER NPI NUMBER
IL
01
1730318148
INDIVIDUAL PROVIDER NPI
IL
01
F400193284
INDIVIDUAL PROVIDER MEDICARE PTAN
IL
Enumeration date
07/07/2009
Last updated
10/20/2020
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