Organization
ANITHA JAGADISH M.D, PA
Active
Other names
Tender Care Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANITHA JAGADISH M.D (PRESIDENT)
(772) 335-1812
Entity
Organization
Contact information
Practice address
2115 SE LENNARD RD, PORT SAINT LUCIE, FL 34952-4742
(772) 335-1812
(772) 335-1825
Mailing address
2115 SE LENNARD RD, PORT SAINT LUCIE, FL 34952-4742
(772) 335-1812
(772) 335-1825
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME80942
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001280300
—
FL
05
—
260740900
—
FL
Enumeration date
06/18/2009
Last updated
10/14/2011
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