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Contact Information

KOLLI P REDDY, MD
520 SW 5TH AVE
WILLISTON, FL32696
 Phone: 352-528-3770
 Fax: 352-528-0691
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KOLLI P REDDY · (Male)

NPI # 1073514543
Status Active
Credentials MD
Entity Individual
Enumeration date 08/09/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME21372
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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