Adamcik Medical Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

ME71737 Issued in FL

Legal business name

ADAMCIK MEDICAL INC

Practice address

580 Malabar Rd SE
Suite 2
Palm Bay, FL 32907-3107

Phone

(321) 327-2980

Fax

(321) 327-2982

NPI assigned

Jan 14, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Raymond Douglas Adamcik, MD

Title

Owner

Phone

(321) 507-0007

Specialties & licenses 1

Addresses

Other names 1

• Ray AdamcikMD Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1760629612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 MALABAR RD SE",
            "address_2": "SUITE 2",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073107",
            "telephone_number": "321-327-2980",
            "fax_number": "321-327-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 MALABAR RD SE",
            "address_2": "SUITE 2",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073107",
            "telephone_number": "321-327-2980",
            "fax_number": "321-327-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMCIK MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "ADAMCIK",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-507-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME71737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ray AdamcikMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.