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Organization
VIJAY KONDA MD PA
Active
Organization
VIJAY KONDA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAY K KONDA M.D. (PRESIDENT)
(904) 207-2560
Entity
Organization
Contact information
Practice address
3447 PINE RIDGE RD, SUITE 101, NAPLES, FL 34109-3927
(904) 207-2560
Mailing address
2338 IMMOKALEE RD, SUITE 183, NAPLES, FL 34110-1445
(904) 207-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME96103
FL
Other
Enumeration date
05/20/2013
Last updated
06/11/2013
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