ANITHA JAGADISH

PORT SAINT LUCIE, FL
NPI1982763850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: FL  ME 80942)
Enumeration Date2006-12-07
Last Update Date2019-12-09
Business Address
ANITHA JAGADISH M.D.
2115 SE LENNARD RD
PORT SAINT LUCIE, FL 34952-4742
Phone number: 772-335-1812
Mailing Address
ANITHA JAGADISH M.D.
2115 SE LENNARD RD
PORT SAINT LUCIE, FL 34952-4742
Phone number: 772-335-1812
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