Individual
VIJITHA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1110 W FAIRBANKS AVE, WINTER PARK, FL 32789-4721
(407) 629-7474
(407) 629-7475
Mailing address
9582 W COLONIAL DR, OCOEE, FL 34761-6992
(407) 363-6700
(407) 363-5979
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME80136
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262455900
—
FL
Enumeration date
01/12/2007
Last updated
01/19/2010
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