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DR. SUDHA RANI MUTYALA MD
NPI 1033001540
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since July 18, 2025
15255 MAX LEGGETT PKWY, JACKSONVILLE, FL 32218(904) 383-1000 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sudha Rani Mutyala Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUDHA RANI MUTYALA MD (NPI 1033001540) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1033001540
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SUDHA RANI MUTYALACredential: MD
Location Address15255 MAX LEGGETT PKWYJacksonville, FL 32218-7273
Mailing Address220 Riverside Ave Unit 413Jacksonville, FL 32202-4955 · (904) 534-2507
Phone(904) 383-1000
Sole ProprietorYes
Enumeration DateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1033001540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.

15255 MAX LEGGETT PKWY, Jacksonville, FL 32218
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRANSCENDENT MULTISERVICE ASSIST, LLC
Registered Nurse (Registered Nurse First Assistant)
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Duval County (904) 382-1987
MARK A LIVECCHI MD
Physical Medicine & Rehabilitation (Brain Injury Medicine)
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Duval County (904) 456-8297
SHEILA COMPTON LCSW
Social Worker (Clinical)
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Duval County (904) 383-1000
SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
Non-Pharmacy Dispensing Site
15255 MAX LEGGETT PKWY, 5TH FLOOR
JACKSONVILLE, FL 32218
Duval County (727) 755-0693
ALFONSO DAVID MORENO GUTIERREZ M.D
Hospitalist
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Duval County (773) 349-5197
DR. ERIN THOR WOLFF M.D.
Physical Medicine & Rehabilitation
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Duval County (904) 456-8001
SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Specialist
15255 MAX LEGGETT PKWY, 5TH FLOOR
JACKSONVILLE, FL 32218
Duval County (904) 634-0640
HAILEY RUTLEDGE PHARMD
Pharmacist
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Duval County (904) 244-0411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sudha Rani Mutyala's NPI number?

The NPI number for Sudha Rani Mutyala is 1033001540. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Where is Sudha Rani Mutyala located?

Sudha Rani Mutyala practices at 15255 Max Leggett Pkwy, Jacksonville, FL 32218. The listed phone number is (904) 383-1000.

What is Sudha Rani Mutyala's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Sudha Rani Mutyala was last updated on July 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.