TAGRID ADILI MD PA

PORT ST LUCIE, FL
NPI1306068606
Entity TypeOrganization
Authorized ContactTAGRID ADILI
Owner
772-807-7166
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: FL  ME0067274)
Enumeration Date2007-05-03
Last Update Date2008-02-21
Business Address
TAGRID ADILI MD PA
463 NW PRIMA VISTA BLVD
PORT ST LUCIE, FL 34983
Phone number: 772-807-7166
Mailing Address
TAGRID ADILI MD PA
463 NW PRIMA VISTA BLVD
PORT ST LUCIE, FL 34983
Phone number: 772-807-7166