MS. Rekha Nidadavolu, PHYSICIAN ASSISTANT
NPI #1902138217 in Saint Cloud, Florida
Provider Information
- NPI Number
- 1902138217
- Entity Type
- Individual
- Name
- MS. Rekha Nidadavolu, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Feb 11, 2010
- Last Updated
- Jan 30, 2020
Practice Location
- Address
- 4745 OLD CANOE CREEK RD
- City
- Saint Cloud
- State
- Florida
- ZIP Code
- 34769-1400
- Phone
- (305) 905-9316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
| Physician Assistant |
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