Most Relevant Information
Provider Data
| NPI Number: | 1003511619 |
| Provider Name: | ASRITA VATTIKONDA MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | ME169519 |
Most Important Dates
| Enumeration Date: | 04/03/2023 |
| Last Updated: | 08/08/2024 |
Provider Practice Location
4500 SAN PABLO RD S
JACKSONVILLE
FL
322241865
Practice Location Phone/Fax
| Phone: | 9049532000 |
| Fax: |
Provider Mailing Location
4500 SAN PABLO RD S
JACKSONVILLE
FL
322241865
Provider Mailing Phone/Fax
| Phone: | 9049532000 |
| Fax: |
Suggested EMR
Internist EMR