# PHOENIX OBSTETRICS AND GYNECOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003321118
- **Authorized official:** KATHLEEN KONDAS (OFFICER)
- **Authorized official phone:** (877) 328-1119

## Contact information

- **Practice address:** 601 W ATLANTIC BLVD FL 2, POMPANO BEACH, FL 33060-5916
- **Practice address phone:** (469) 401-2386
- **Mailing address:** 5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2017
- **Last updated:** 07/15/2021