Provider Demographics
NPI:1992063432
Name:BAUERMEISTER, ADAM JACK (MD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:JACK
Last Name:BAUERMEISTER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:20790 RAMITA TRL
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-1733
Mailing Address - Country:US
Mailing Address - Phone:812-251-7012
Mailing Address - Fax:
Practice Address - Street 1:1499 W PALMETTO PARK RD STE 216
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-3322
Practice Address - Country:US
Practice Address - Phone:561-288-0892
Practice Address - Fax:561-396-9929
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2025-05-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME1442052086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery