Individual
MICHAEL G ADKISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 HEALTH PARK BLVD, SUITE 5008, ST AUGUSTINE, FL 32086-3707
(904) 810-0686
(770) 237-1124
Mailing address
PO BOX 3012, ST AUGUSTINE, FL 32085-3012
(866) 480-2246
(770) 237-1124
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME97111
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME97111
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104903160
GROUP NPI NUMBER
FL
05
—
276744900
—
FL
Enumeration date
06/02/2006
Last updated
01/03/2024
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