Organization
ANA CONDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANA CONDE (OWNER)
(321) 368-3862
Entity
Organization
Contact information
Practice address
2428 CLEARLAKE RD BLDG K, COCOA, FL 32922-5722
(321) 368-3862
Mailing address
PO BOX 560538, ROCKLEDGE, FL 32956-0538
(321) 368-3862
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
05/17/2023
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