Basic Information
Provider Information
NPI: 1154381473
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ADKINS
FirstName: DEBRA
MiddleName: J.
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6022 NW 13TH PL
Address2:  
City: GAINESVILLE
State: FL
PostalCode: 326054102
CountryCode: US
TelephoneNumber: 3523327634
FaxNumber: 3523337890
Practice Location
Address1: 1601 SW ARCHER RD
Address2: VETERANS ADMINISTRATION HOSPITAL
City: GAINESVILLE
State: FL
PostalCode: 326081135
CountryCode: US
TelephoneNumber: 3523761611
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/23/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XME 61804FLY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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