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Pranav Reddy Bommineni, DO
Student in an Organized Health Care Education/Training Program in Orange Park, Florida
NPI 1093455685

Pranav Reddy Bommineni is a Student in an Organized Health Care Education/Training Program based in Orange Park, FL. Pranav Reddy Bommineni practices in Orange Park, FL and has the professional credentials of DO. The NPI Number for Pranav Reddy Bommineni is 1093455685 and holds a License No. (Florida).

The current practice location address for Pranav Reddy Bommineni is 2001 Kingsley Ave, Orange Park, FL and can be reached out via phone at 904-639-2000.

Location: 2001 Kingsley Ave, Orange Park, FL, 32073-5156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093455685
Provider Name
Pranav Reddy Bommineni
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2001 Kingsley Ave, Orange Park, FL, 32073-5156
Phone Number
904-639-2000
Fax Number
Provider Enumeration Date
03/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2001 Kingsley Ave
City
Orange Park
State
Florida
Zip
32073-5148
Phone Number
904-639-2000
Fax Number
person
Provider Business Mailing Address Details
Address
2001 Kingsley Ave
City
Orange Park
State
Florida
Zip
32073-5148
Phone Number
904-639-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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