Provider Demographics
NPI:1124446299
Name:FRANCIS, ADAM MICHAEL (DC)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:MICHAEL
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5775 ORTEGA VIEW WAY UNIT 13
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-7864
Mailing Address - Country:US
Mailing Address - Phone:904-420-8711
Mailing Address - Fax:
Practice Address - Street 1:5775 ORTEGA VIEW WAY UNIT 13
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-7864
Practice Address - Country:US
Practice Address - Phone:904-420-8711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-04
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11371111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO46-4367841OtherEIN