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Contact Information

PRASANTHI REDDY, MD
4788 HODGES BLVD
BUILDING B, SUITE 108
JACKSONVILLE, FL32224-7222
 Phone: 904-223-9100
 Fax: 904-223-9282
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PRASANTHI REDDY · (Female)

NPI # 1386620870
Status Active
Credentials MD
Entity Individual
Enumeration date 12/16/2005
Last updated 12/15/2025 - About 6 months ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME9115
  • FL License # ME91195
  • FL Medicaid 273107000
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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