Individual
ILARIA SAMIR GADALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1001 SE MONTEREY COMMONS BLVD, SUITE 300, STUART, FL 34996-3329
(772) 286-9400
(772) 283-3832
Mailing address
1001 SE MONTEREY COMMONS BLVD, SUITE 300, STUART, FL 34996-3329
(772) 286-9400
(772) 283-3832
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9105385
FL
Other
Enumeration date
08/11/2008
Last updated
04/23/2014
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