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Organization
PREMIERE PERINATAL ASSOCIATES PA
Active
Organization
PREMIERE PERINATAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(877) 328-1119
Entity
Organization
Contact information
Practice address
2964 N STATE ROAD 7 STE 300, MARGATE, FL 33063-5715
(954) 468-3080
Mailing address
5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
(919) 425-0478
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
ME43546
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273189400
—
FL
Enumeration date
07/14/2005
Last updated
02/15/2022
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