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Organization

LAKE MACACO INPATIENT SERVICES, LLC

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Organization

LAKE MACACO 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
1796 US HIGHWAY 441 N, OKEECHOBEE, FL 34972-1918
(863) 763-2151
Mailing address
PO BOX 37878, PHILADELPHIA, PA 19101-0178

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—

Other

Enumeration date
05/18/2012
Last updated
12/22/2020
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