Individual
DR. SARALA HOSDURGA SRINIVASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7752 SHELTER WOOD CT, JACKSONVILLE, FL 32256-2346
(904) 472-1816
Mailing address
7752 SHELTER WOOD CT, JACKSONVILLE, FL 32256-2346
(904) 472-1816
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME84718
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264159300
—
FL
01
—
P00457783
RR MEDICARE
FL
Enumeration date
04/26/2006
Last updated
02/02/2017
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