Individual
EARL GEORGE ADAMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Mailing address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2913112
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009996975
—
AL
05
—
306985600
—
FL
01
—
59178912
BLUECROSS BLUESHIELD
AL
01
—
G3755
BLUECROSS BLUESHIELD
FL
01
—
P00237470
RAILROAD MEDICARE
—
Enumeration date
08/24/2005
Last updated
11/04/2011
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