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Organization
TAGRID ADILI MD PA
Active
Organization
TAGRID ADILI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAGRID ADILI M.D. (OWNER)
(772) 807-7166
Entity
Organization
Contact information
Practice address
463 NW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983
(772) 807-7166
(772) 807-7169
Mailing address
463 NW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983
(772) 807-7166
(772) 807-7169
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0067274
FL
Other
Enumeration date
05/03/2007
Last updated
02/21/2008
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