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Provider Information for 1316386865

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

ADAM OPPENHEIM D.O.

Gender: MALE

Individual NPI: 1316386865

Calendar   Last Updated:  2019-01-22
  Certification Date: 

Details

Name Value
NPI 1316386865
Enumeration Date 2013-06-18
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 830 CENTRAL AVE STE 100
ST PETERSBURG, FL 33701-3624
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 830 CENTRAL AVE STE 100
ST PETERSBURG, FL 33701
United States

Phone: 727-822-9208 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 208800000X - Urology FL OS14916