Individual
DR. SRAVANTHI ENNALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1075 TOWN CENTER DR, ORANGE CITY, FL 32763-8360
(386) 917-0333
(386) 917-0335
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 445-0346
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME174216
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127397200
—
FL
Enumeration date
08/05/2011
Last updated
08/28/2025
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