Taj LLC

Specialist · New Smyrna Beach, FL

Organization Active NPI

NPI number 1982861381

Practice location

612 Palmetto St
New Smyrna Beach, FL 32168-7327
Phone
(386) 423-5500
Fax
(386) 409-9762

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NPI record

NPI
1982861381
Entity type
Organization (Type 2)
Enumeration date
May 22, 2008
Last updated
May 22, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X ME48245 FL

Authorized official

Name
Dr. Mark A Nagrani, MD
Title
Medical Director
Phone
(386) 423-5500

About Taj LLC

Taj LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 612 Palmetto St, New Smyrna Beach, FL 32168-7327. The NPI number 1982861381 was assigned on May 22, 2008 and the record was last updated on May 22, 2008.

Taj LLC lists a license in the registry: #ME48245 (FL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Mark A Nagrani, MD, Medical Director.

Frequently asked questions

What is the NPI number of Taj LLC?

The NPI number is 1982861381.

What is the phone number of Taj LLC?

The phone number listed for the practice location is (386) 423-5500.

Where is Taj LLC located?

612 Palmetto St, New Smyrna Beach, FL 32168-7327.

What is the taxonomy code for Taj LLC?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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