Organization
SRINIVAS DONTINENI MD PA
Active
Other names
Brevard Hospitalist Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVAS RAO DONTINENI MD (INTERNAL MEDICINE PHYSICIAN)
(321) 751-9506
Entity
Organization
Contact information
Practice address
2428 CLEARLAKE RD BLDG K, COCOA, FL 32922-5722
(321) 368-3862
(321) 208-8717
Mailing address
PO BOX 560059, ROCKLEDGE, FL 32956-0059
(321) 368-3862
(321) 208-8717
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004793700
—
FL
01
—
BM919A
MEDICARE PTAN
FL
Enumeration date
11/12/2008
Last updated
01/28/2025
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