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Organization

SUNSHINE PEDIATRIC AND FAMILY CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SRINIVASA REDDY YERASI MD (PEDIATRICIAN)
(337) 332-3971
Entity
Organization

Contact information

Practice address
555 LAKES BLVD, BREAUX BRIDGE, LA 70517-3240
(337) 332-3971
(337) 735-3046
Mailing address
555 LAKES BLVD, BREAUX BRIDGE, LA 70517-3240
(337) 332-3971
(337) 735-3046

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
208000000X
Pediatrics Physician
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
04/01/2022
Last updated
01/20/2023
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