Tagrid Adili MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0067274 Issued in FL

Legal business name

TAGRID ADILI MD PA

Practice address

463 NW Prima Vista Blvd
Port St Lucie, FL 34983

Phone

(772) 807-7166

Fax

(772) 807-7169

NPI assigned

May 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tagrid Adili, M.D.NPI 1093820417

Title

Owner

Phone

(772) 807-7166

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CCDDCA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tagrid Adili, MD PA

  • Neurology Physician
  • Port St Lucie, FL
  • NPI 1093820417
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1306068606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 NW PRIMA VISTA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34983",
            "telephone_number": "772-807-7166",
            "fax_number": "772-807-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 NW PRIMA VISTA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34983",
            "telephone_number": "772-807-7166",
            "fax_number": "772-807-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAGRID ADILI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "ADILI",
        "authorized_official_first_name": "TAGRID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-807-7166",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0067274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Anne Szatko, RN
• Jose Tabar
• Anabel Tabares
• Lynn Tabet
• Sophia Taffe, PMHNP
• Raja R Talati, MD
• Chris Ann Tallbacka, OT
• Carrie Lynn Talluto, PHARM D.
• Ciara Grace Maderazo Tan
• Andrea Tang

• Specialist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.