Individual
LAUREN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3663 CROWN POINT CT, JACKSONVILLE, FL 32257-5967
(904) 288-8910
(904) 288-8912
Mailing address
3776 CROWN POINT COURT, JACKSONVILLE, FL 32257
(904) 288-8910
(904) 288-8912
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT11655
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OT11655
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890258500
—
FL
01
—
Z094Q
BCBS
FL
Enumeration date
11/29/2006
Last updated
01/24/2019
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