Individual
SRIREKHA REDDY MADADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6484 FORT CAROLINE RD, JACKSONVILLE, FL 32277-2042
(904) 744-7300
(904) 722-4271
Mailing address
6520 FORT CAROLINE RD, JACKSONVILLE, FL 32277-2044
(904) 744-7300
(904) 722-4271
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME78817
FL
2080A0000X
Pediatric Adolescent Medicine Physician
78817
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260426400
—
FL
Enumeration date
01/16/2007
Last updated
07/19/2019
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