Reddy, Kolli Prabhakara

Reddy, Kolli Prabhakara is an individual health care provider with primary practice located at 520 Sw 5Th Ave , Williston FL 32696. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Reddy, Kolli Prabhakara can be contacted via phone (352) 528-3770.

Contact Information

Primary practice address
520 Sw 5Th Ave Williston FL 32696
Fax: (352) 528-0691
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME21372 Florida

Profile Details

NPI number 1073514543
LBN Legal business name Reddy, Kolli Prabhakara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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