Organization
SOUTHWEST FLORIDA RHEUMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUMUGAPRIYA G REDDY MD (MANAGING MEMBER)
(813) 321-7411
Entity
Organization
Contact information
Practice address
11952 BOYETTE RD, RIVERVIEW, FL 33569-5601
(813) 321-7411
(813) 661-9745
Mailing address
PO BOX 2779, RIVERVIEW, FL 33568-2779
(813) 321-7411
(813) 661-9745
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME96110
FL
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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