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Tagrid Adili, MD PA

Psychiatry & Neurology, Neurology in Port St Lucie, FL. Individual provider (NPI-1).

NPI number1093820417
StatusActive
Last updated in NPPESFeb 21, 2008

Details

NPI
1093820417
Entity type
Individual (NPI-1)
Name
Tagrid Adili
Credential
MD PA
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 19, 2006
Last updated
Feb 21, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, NeurologyME67274FLYes

Practice location

463 Nw Prima Vista Blvd
Port St Lucie, FL 34983

Phone 772-335-1882 · Fax 772-807-7169

Mailing address

463 Nw Prima Vista Blvd
Port St Lucie, FL 34983

Phone 772-807-7166 · Fax 772-807-7169

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