Provider Demographics
NPI:1851677207
Name:REDDY, SARASWATHI DESAI (ARNP)
Entity Type:Individual
Prefix:
First Name:SARASWATHI
Middle Name:DESAI
Last Name:REDDY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 N LECANTO HWY
Mailing Address - Street 2:STE A
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:FL
Mailing Address - Zip Code:34465-3548
Mailing Address - Country:US
Mailing Address - Phone:352-746-2227
Mailing Address - Fax:352-746-3587
Practice Address - Street 1:3400 N LECANTO HWY
Practice Address - Street 2:SUITE A
Practice Address - City:BEVERLY HILLS
Practice Address - State:FL
Practice Address - Zip Code:34465-3548
Practice Address - Country:US
Practice Address - Phone:352-746-2227
Practice Address - Fax:352-746-3587
Is Sole Proprietor?:No
Enumeration Date:2011-10-31
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1992772363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP 1992772OtherARNP 1992772 STATE OF FLORIDA LICENSE