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1801532007
SPLIT MOUNTAIN EMERGENCY PHYSICIANS LLC
PORT CHARLOTTE, FL
NPI
1801532007
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Entity Type
Organization
Authorized Contact
KATHLEEN KONDAS
Officer
973-251-1132
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2022-05-10
Last Update Date
2022-05-10
Business Address
SPLIT MOUNTAIN EMERGENCY PHYSICIANS LLC
105 TAMIAMI TRAIL
PORT CHARLOTTE, FL 33953
Phone number: 941-629-1181
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Mailing Address
SPLIT MOUNTAIN EMERGENCY PHYSICIANS LLC
5565 CENTERVIEW DR STE 107
RALEIGH, NC 27606-3563
Phone number: 973-251-1132
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