ADESSO PROFESSIONAL SERVICES LLC NPI 1730682808

NPI Information

  • NPI: 1730682808
  • Provider Name: ADESSO PROFESSIONAL SERVICES LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: AMD PRIMARY CARE
  • Address: 1202 KINGSLEY AVE
    ORANGE PARK, FL
    ZIP 32073
  • Phone: (877) 228-1221

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NPI Details

ADESSO PROFESSIONAL SERVICES LLC is a family medicine in Orange Park, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ADESSO PROFESSIONAL SERVICES LLC NPI is 1730682808. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Amd Primary Care.

The provider's business location address is:

1202 KINGSLEY AVE
ORANGE PARK, FL
ZIP 32073-632
Phone: (877) 228-1221
Fax: (877) 842-4020

The provider's authorized official is Maria D Maynoldi .
The authorized official title is Administrator and has the following contact phone number (904) 579-4766.

The enumeration date for this NPI number is 3/14/2018 and was last updated on 11/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME130811FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11144591249OTHERFLORIDADAVID MAYNOLDI MD NPI #
2ME130811OTHERFLORIDADAVID MAYNOLDI'S FL MED LIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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