1417018482 ADLY THEBAUD,MD,PA
Community/Behavioral Health Agency
Active
Basic Information
- Organization Name
- ADLY THEBAUD,MD,PA
- Enumeration Date
- December 13, 2006
- Last Update
- November 9, 2023
- Authorized Official
- DR. ADLY THEBAUD MD
OWNER
Phone: (386) 775-0736
Practice Location
- Address
- 2725 REBECCA LN STE 107
ORANGE CITY, FL 327638350 - Phone
- (386) 775-0736
- Fax
- (386) 775-0738
Mailing Address
- Address
- 2725 REBECCA LN STE 107
ORANGE CITY, FL 327638350 - Phone
- (386) 775-0736
- Fax
- (386) 775-0738
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | 363LP0808X | Nurse Practitioner | ARNP 9410846 | FL | No |
| Child & Adolescent Psychiatry Physician Child & Adolescent Psychiatry | 2084P0804X | Psychiatry & Neurology | ME60436 | FL | No |
| Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | 363LP0808X | Nurse Practitioner | ARNP 9231203 | FL | No |
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | N/A | FL | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K0231 | 01 | FL | MEDICARE |
| 010364600 | 05 | FL | N/A |
Frequently Asked Questions
What is ADLY THEBAUD,MD,PA's NPI number?
ADLY THEBAUD,MD,PA's NPI number is 1417018482.
Which doctor has NPI number 1417018482?
The doctor with NPI number 1417018482 is ADLY THEBAUD,MD,PA.
What is ADLY THEBAUD,MD,PA's practice address?
ADLY THEBAUD,MD,PA's practice address is 2725 REBECCA LN STE 107, ORANGE CITY, FL, 327638350.
Which doctor practices at 2725 REBECCA LN STE 107, ORANGE CITY, FL, 327638350?
ADLY THEBAUD,MD,PA practices at 2725 REBECCA LN STE 107, ORANGE CITY, FL, 327638350.
What is ADLY THEBAUD,MD,PA's phone number?
ADLY THEBAUD,MD,PA's phone number is (386) 775-0736.
Who is (386) 775-0736?
(386) 775-0736 is the phone number for ADLY THEBAUD,MD,PA.
What is ADLY THEBAUD,MD,PA's specialty?
ADLY THEBAUD,MD,PA's specialty is Community/Behavioral Health Agency.
What type of doctor is ADLY THEBAUD,MD,PA?
ADLY THEBAUD,MD,PA is a Community/Behavioral Health Agency.
Is ADLY THEBAUD,MD,PA a Community/Behavioral Health?
Yes, ADLY THEBAUD,MD,PA is a Community/Behavioral Health.
Is ADLY THEBAUD,MD,PA still practicing?
Yes, ADLY THEBAUD,MD,PA is currently practicing.
Is ADLY THEBAUD,MD,PA accepting new patients?
ADLY THEBAUD,MD,PA may be accepting new patients. Please call their office at (386) 775-0736 to inquire about availability.
Is NPI 1417018482 still active?
Yes, NPI 1417018482 is currently active.
Where does ADLY THEBAUD,MD,PA practice?
ADLY THEBAUD,MD,PA practices in ORANGE CITY, FL.