Individual
DR. JAMES K. CONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6804 CECELIA DR, NEW PORT RICHEY, FL 34653-4935
(727) 232-0644
(888) 546-0488
Mailing address
6804 CECELIA DR, NEW PORT RICHEY, FL 34653-4935
(727) 232-0644
(888) 546-0488
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
ME-71437
FL
208600000X
Surgery Physician
ME0071437
FL
2086S0102X
Surgical Critical Care Physician
ME-71437
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME0071437
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252311600
—
FL
01
—
32303U
MEDICARE PTAN
FL
Enumeration date
03/17/2006
Last updated
09/11/2015
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