Ilaria Samir Gadalla, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9105385 Issued in FL

Practice address

1001 SE Monterey Commons Blvd
Suite 300
Stuart, FL 34996-3329

Phone

(772) 286-9400

Fax

(772) 283-3832

NPI assigned

Aug 11, 2008

Sex

Female

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)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1962658997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SE MONTEREY COMMONS BLVD",
            "address_2": "SUITE 300",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963329",
            "telephone_number": "772-286-9400",
            "fax_number": "772-283-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SE MONTEREY COMMONS BLVD",
            "address_2": "SUITE 300",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963329",
            "telephone_number": "772-286-9400",
            "fax_number": "772-283-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADALLA",
        "first_name": "ILARIA",
        "middle_name": "SAMIR",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9105385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addylyn E Gabriel
• Matthew Gabriel, DC
• Sabrina Ainza Gacula
• Anecito Gacutno Jr.
• Christine Gad, N/A
• Ashley Gadson, RBT
• Alexandre Eian Gaeta, DDS
• Paul Gaeta, M.D.
• Prince Gafaru, BCBA
• Jessica Gaffney, LCSW

• Medical Physician Assistant in Stuart, FL
• Providers in Stuart, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.