Individual
DR. PRASANTHI REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4788 HODGES BLVD, BUILDING B, SUITE 108, JACKSONVILLE, FL 32224-7222
(904) 223-9100
(904) 223-9282
Mailing address
4788 HODGES BLVD, BUILDING B, SUITE 108, JACKSONVILLE, FL 32224-7222
(904) 223-9100
(904) 223-9282
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME9115
FL
2080A0000X
Pediatric Adolescent Medicine Physician
ME91195
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273107000
—
FL
Enumeration date
12/16/2005
Last updated
12/15/2025
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