Individual
ADLEY DASILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1941 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5535
(772) 337-1717
(772) 337-1737
Mailing address
1941 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5535
(772) 337-1717
(772) 337-1737
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9106813
FL
Other
Enumeration date
01/18/2018
Last updated
06/10/2020
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