Provider Demographics
NPI:1518764596
Name:BREMER, ADAM HOLLAND
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:HOLLAND
Last Name:BREMER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 WINDING RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32773-5531
Mailing Address - Country:US
Mailing Address - Phone:386-290-2028
Mailing Address - Fax:
Practice Address - Street 1:118 WINDING RIDGE DR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32773-5531
Practice Address - Country:US
Practice Address - Phone:386-290-2028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker