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Individual

DR. SUJANA REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
22655 BAYSHORE RD STE 110, PORT CHARLOTTE, FL 33980-2005
(941) 235-4900
(941) 235-4901
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9890
(239) 343-4191

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME113447
FL
2080P0205X
Pediatric Endocrinology Physician
ME113447
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005970100
FL
Enumeration date
07/07/2009
Last updated
06/27/2024
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