Individual
SUJATHA REDDY BORRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13333 N 56TH ST, TAMPA, FL 33617-1161
(813) 983-0894
Mailing address
13333 N 56TH ST, TAMPA, FL 33617-1161
(813) 983-0894
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME86603
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273907100
—
FL
Enumeration date
09/13/2005
Last updated
01/23/2025
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