Organization
COASTAL PULMONARY AND SLEEP CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAKASH V REDDY MD (PHYSICIAN)
(321) 312-3501
Entity
Organization
Contact information
Practice address
140 6TH AVE, INDIALANTIC, FL 32903-3204
(321) 312-3501
Mailing address
140 6TH AVE, INDIALANTIC, FL 32903-3204
(321) 312-3501
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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