Individual
DR. PRAJWAL REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
63826
MN
207RC0000X
Cardiovascular Disease Physician
Primary
ME154452
FL
Other
Enumeration date
05/19/2015
Last updated
06/01/2022
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