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Organization
LAKE NONA INPATIENT SERVICES LLC
Active
Organization
LAKE NONA INPATIENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
6850 LAKE NONA BLVD, ORLANDO, FL 32827-7408
(407) 266-1000
Mailing address
5380 TECH DATA DR STE 101, CLEARWATER, FL 33760-3122
(469) 613-8343
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
11/19/2020
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