Adam N Tice, N.D.
Individual provider Active NPI Naturopath · Indialantic, FL
NPI 1982909974 · NPPES record last updated Jan 21, 2011
Key facts
- NPI
- 1982909974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 099.0074285 (VT)
- Practice address
- 105 S Riverside Dr Ste 131
Indialantic, FL 32903-4321 - Phone
- (321) 409-0044
- Fax
- (321) 409-0099
- NPI assigned
- Jan 21, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 099.0074285 | VT | MD | Naturopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 099.0074285 | VT | Yes |
Addresses
Primary practice location
105 S Riverside Dr Ste 131
Indialantic, FL 32903-4321
Mailing address
105 S Riverside Dr Ste 131
Indialantic, FL 32903-4321
Phone (321) 409-0044
Other providers in Indialantic, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.