Organization
EMERGENCY PHYSICIAN SOLUTIONS OF SOUTH FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (MANAGER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
11750 SW 40TH ST, MIAMI, FL 33175-3530
(973) 251-1132
Mailing address
PO BOX 452256, SUNRISE, FL 33345-2256
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/17/2014
Last updated
12/06/2019
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