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Individual

DR. ADAM N TICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.D.

Contact information

Practice address
105 S RIVERSIDE DR STE 131, INDIALANTIC, FL 32903-4321
(321) 409-0044
(321) 409-0099
Mailing address
105 S RIVERSIDE DR STE 131, INDIALANTIC, FL 32903-4321
(321) 409-0044
(321) 409-0099

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
099.0074285
VT

Other

Enumeration date
01/21/2011
Last updated
01/21/2011
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