Individual
ADITYA REDDY BODDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16261 BASS RD STE 300, FORT MYERS, FL 33908-3671
(239) 343-6410
(239) 343-4014
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6410
(239) 343-4014
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01068916A
IN
207RC0000X
Cardiovascular Disease Physician
ME143336
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME143336
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104990800
—
FL
Enumeration date
06/27/2008
Last updated
04/30/2026
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