Adley Dasilva, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9106813 Issued in FL

Practice address

1941 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5535

Phone

(772) 337-1717

Fax

(772) 337-1737

NPI assigned

Jan 18, 2018

Last updated

Jun 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1487162905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525535",
            "telephone_number": "772-337-1717",
            "fax_number": "772-337-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525535",
            "telephone_number": "772-337-1717",
            "fax_number": "772-337-1737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4671 S. Congress Ave #100-A",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "33461",
            "country_code": "US",
            "telephone_number": "561-641-9490",
            "fax_number": "561-296-0480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASILVA",
        "first_name": "ADLEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-18",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9106813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Rubens Dantilus
• Roseclaire Darang
• Sandra Darius
• Cyntyche Darling
• Snigdha Das, MD
• Judy R Dasilva, DNP, MSN, ARNP, FNP
• Charlene M Daumke, RPH
• David J. Krynauw, DDS, PA
• David R Matos Occupational Therapy Services LLC (Onward Therapy Pediatrics)
• David Torres, M.D., P.a.

• Surgical Physician Assistant in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.