Taj LLC
NPI #1982861381 in New Smyrna Beach, Florida
Provider Information
- NPI Number
- 1982861381
- Entity Type
- Organization
- Organization Name
- Taj LLC
- Primary Specialty
- Specialist
- Enumeration Date
- May 22, 2008
- Last Updated
- May 22, 2008
Practice Location
- Address
- 612 PALMETTO ST
- City
- New Smyrna Beach
- State
- Florida
- ZIP Code
- 32168-7327
- Phone
- (386) 423-5500
Authorized Official
- Name
- DR. MARK A NAGRANI, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (386) 423-5500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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