| NPI | 1982930897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN KONDAS Office 954-838-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2019-09-17 |