Individual
DR. ADAM ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4202 E FOWLER AVE SHS 100, TAMPA, FL 33620-6750
(813) 974-9533
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY10119
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29CNA
BLUE CROSS BLUE SHIELD
FL
01
—
KG026
MEDICARE
FL
Enumeration date
04/06/2018
Last updated
01/04/2024
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