TIYYAGURA S REDDY
Osteopathic Medicine at Jacque Rd, Port Richey, FL

License number
Florida ME40196
Category
Osteopathic Medicine
Type
Gastroenterology
Address
Address 2
7614 Jacque Rd STE B, Port Richey, FL 34667
2410 Northside Dr, Clearwater, FL 33761
Phone
(727) 863-2105
(727) 862-2512 (Fax)
(727) 499-0358
(727) 781-3312 (Fax)
National Provider ID: 1205848595
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TIYYAGURA S REDDY at bizstanding.com

TIYYAGURA S. REDDY, M.D., PA

7614 Jacque Rd STE B, Hudson, FL 34667

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Sep 6, 1994
Inactive since:
Sep 24, 2010
State ID:
P94000065164
Business type:
Florida Profit Corporation
President, Secretary, Directors:
Reddy, Tiyyagura S, 7209 Royal Oak Dr, Spring Hill, FL 34607 (Physical),Tiyyagura S. Reddy President, Secretary, Director, inactive
EIN:
59-3261167

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