Individual
DR. SRIDHAR SRINIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14546 OLD SAINT AUGUSTINE RD STE 100, JACKSONVILLE, FL 32258-5468
(904) 202-7300
(904) 202-7377
Mailing address
PO BOX 45278, JACKSONVILLE, FL 32232-5278
(904) 202-2092
(904) 393-7603
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
062292
GA
207RH0003X
Hematology & Oncology Physician
4301085324
MI
207RH0003X
Hematology & Oncology Physician
C1-0028140
DE
207RH0003X
Hematology & Oncology Physician
Primary
ME99519
FL
Other
Enumeration date
05/16/2007
Last updated
06/24/2025
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