Individual
DR. SUPRITH BADARINATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 SHIRCLIFF WAY, STE 800, JACKSONVILLE, FL 32204-4751
(904) 388-2619
(904) 388-0240
Mailing address
7751 BELFORT PKWY STE 350, JACKSONVILLE, FL 32256-6951
(904) 363-2113
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME 80727
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258495600
—
FL
01
—
272016
AVMED
FL
01
—
35709
BCBS
FL
05
—
664397753B
—
GA
01
—
7233148
AETNA
FL
Enumeration date
06/14/2005
Last updated
01/21/2025
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