REKHA NIDADAVOLU

SAINT CLOUD, FL
NPI1902138217
Former NameREKHA PINJALA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9111839)
Additional Taxonomies183500000X Pharmacist
(Licence: FL  PS44664)
183500000X Pharmacist
(Licence: MA  24667)
Enumeration Date2010-02-11
Last Update Date2020-01-30
Business Address
Ms. REKHA NIDADAVOLU PHYSICIAN ASSISTANT
4745 OLD CANOE CREEK RD
SAINT CLOUD, FL 34769-1400
Phone number: 305-905-9316
Mailing Address
Ms. REKHA NIDADAVOLU PHYSICIAN ASSISTANT
4745 OLD CANOE CREEK RD
SAINT CLOUD, FL 34769-1400
Phone number: 305-905-9316