DR MANOHAR G REDDY MD PA
Osteopathic Medicine at Eau Gallie Blvd, Melbourne, FL

License number
Florida ME0073885
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. MANOHAR G REDDY MD
Title: PHYSICIAN/OWNER
Phone: (321) 752-5544
Address
Address
2551 W Eau Gallie Blvd SUITE 101, Melbourne, FL 32935
National Provider ID: 1053510305
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. MANOHAR G. REDDY, MD, PA

Melbourne, FL

Doing business as:
DR. MANOHAR G. REDDY, MD, PLC
Registration:
Jun 6, 2002
Addresses:
2551 W Eau Galle Blvd, Melbourne, FL 32935 (Physical)
2551 W Eau Gallie Blvd, Melbourne, FL 32935
State ID:
P02000063198
Business type:
Florida Profit Corporation
President, Managing Member:
Manohar Gmd Reddy (President, Managing Member), 2913 Bellwind Cir, Rockledge, FL 32955 (Physical)
2913 Bellwood Cir, Rockledge, FL 32955 (Physical)
Agent:
Michael Gemmell,2077 Seawind Ct, Indialantic, FL 32903 (Physical)
EIN:
01-0711600

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