Organization
PEDIATRICA HEALTH OF FLORIDA, LLC
Active
Other names
Rainbow Pediatric Center PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRASANTHI REDDY MD (OWNER/ DOCTOR)
(904) 223-9100
Entity
Organization
Contact information
Practice address
4788 HODGES BLVD, SUITE B-108, JACKSONVILLE, FL 32224-7222
(904) 223-9100
(904) 223-9282
Mailing address
75 VALENCIA AVE STE 709, CORAL GABLES, FL 33134-6132
(904) 223-9100
(904) 223-9282
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME91195
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118989200
—
FL
Enumeration date
06/13/2013
Last updated
03/11/2025
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