Provider Demographics
NPI:1215170808
Name:LIPMAN, ADAM JASON (MD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:JASON
Last Name:LIPMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:800 E CYPRESS CREEK RD STE 304
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33334-3522
Mailing Address - Country:US
Mailing Address - Phone:954-491-7758
Mailing Address - Fax:954-938-5339
Practice Address - Street 1:800 E CYPRESS CREEK RD STE 304
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33334-3522
Practice Address - Country:US
Practice Address - Phone:954-491-7758
Practice Address - Fax:954-938-5339
Is Sole Proprietor?:No
Enumeration Date:2009-04-12
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY271159207XX0005X
FLME 124045207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine