Tagrid Adili Md Pa in Port St Lucie - Specialist

Tagrid Adili Md Pa - NPI 1306068606

Tagrid Adili Md Pa is a Specialist in Port St Lucie, Florida. Tagrid Adili Md Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Tagrid Adili Md Pa is 1306068606. The last update date is 2008-02-21.

Tagrid Adili Md Pa's current location address is 463 Nw Prima Vista Blvd, Port St Lucie, Florida. You can contact this provider via phone number 7728077166 and fax number 7728077169. The mailing address for Tagrid Adili Md Pa is 463 Nw Prima Vista Blvd, Port St Lucie, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Tagrid Adili Md Pa
Address 463 Nw Prima Vista Blvd, Port St Lucie, Florida
Phone Number 7728077166
Fax Number 7728077169
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Adili Tagrid
Credentials M.D.
Telephone Number 7728077166

NPI Number Detail

NPI Number 1306068606
Provider Enumeration Date 2007-05-03
Last Updated Date 2008-02-21

Provider Mailing Address Detail

Address 463 Nw Prima Vista Blvd
City Port St Lucie
State Florida (FL)
Post Code 34983
Phone Number 7728077166
Fax Number 7728077169

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No ME0067274
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Tagrid Adili Md Pa

What is the unique provider identifier assigned to Tagrid Adili Md Pa?

The Tagrid Adili Md Pa has been issued the NPI (National Provider Identifier) 1306068606 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Tagrid Adili Md Pa is physically located?

The Tagrid Adili Md Pa is situated at the following address: 463 Nw Prima Vista Blvd, Port St Lucie, FL 34983.

What is Tagrid Adili Md Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tagrid Adili Md Pa is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

When was the Tagrid Adili Md Pa's 1306068606 issued?

The Tagrid Adili Md Pa's 1306068606 was issued on 2007-05-03.

As of what date were the details pertaining to Tagrid Adili Md Pa last refreshed?

The information related to the Tagrid Adili Md Pa, including its address, specialty, and other relevant details, was last updated on 2008-02-21.

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