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Rekha Nidadavolu, PHYSICIAN ASSISTANT
NPI 1902138217 · on the registry since 2010 · sole proprietor
Practice
- Address
- 4745 Old Canoe Creek Rd
Saint Cloud, FL 34769 - Phone
- (305) 905-9316
- Organisation at this address
- Lake City Institute Of Neurology Pa
Lake City Institute Of Neurology PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Pharmacist
Pharmacist - Licence states on file
- FL, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida