Organization
MOUNT ELBERT INPATIENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
325 CYPRESS PKWY, KISSIMMEE, FL 34759-3326
(469) 401-2386
Mailing address
5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
06/01/2016
Last updated
07/07/2021
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