# SOUTHEAST PERINATAL ASSOCIATES, INC.

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

## Provider details

- **NPI number:** 1588646269
- **Authorized official:** KATHLEEN KONDAS (OFFICER)
- **Authorized official phone:** (954) 838-2371

## Contact information

- **Practice address:** 2235 N COMMERCE PKWY, BUILDING 5, \#2, WESTON, FL 33326-3251
- **Practice address phone:** (954) 389-2700
- **Practice address fax:** (954) 349-7772
- **Mailing address:** PO BOX 817087, HOLLYWOOD, FL 33081-1087
- **Mailing address phone:** (954) 838-2371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/17/2005
- **Last updated:** 09/19/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 38634 | BCBS | FL |