Kolli Prabhakara Reddy MD

NPI 1073514543 - Family Medicine - 207Q00000X

NPI Details
NPI 1073514543
Gender Male
Enumeration Date 08/09/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
520 SW 5TH AVE
WILLISTON FL, 32696, US
Phone (352) 528-3770
Fax (352) 528-0691
Business Location
520 SW 5TH AVE
WILLISTON FL, 32696, US
Phone (352) 528-3770
Fax (352) 528-0691
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME21372
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According to our database, Dr. Kolli Prabhakara Reddy MD NPI is 1073514543, taxonomy code is 207Q00000X and license number is ME21372, license state is located at Florida. Kolli Prabhakara Reddy MD physically located at 520 Sw 5th Ave, Williston FL, 32696. NPI Number Kolli Prabhakara Reddy MD has the Individual type.

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1073514543 NPI number is provided on an as is basis without warranty of any kind. 1073514543 is maintained by the National Plan & Provider Enumeration System. The contents of Kolli Prabhakara Reddy MD are for informational purposes only.