| NPI | 1063642254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN KONDAS Officer 954-838-2371 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 208VP0000X) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2019-09-17 |