Organization
SOUTHEAST PERINATAL ASSOCIATES, INC
Active
Other names
Perinatal Center of Florida
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
1951 SW 172ND AVE, STE 309, MIRAMAR, FL 33029-5593
(954) 494-3528
(954) 242-6000
Mailing address
PO BOX 744069 DEPT 50028, ATLANTA, GA 30384-4069
(954) 838-2371
(954) 447-2708
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
ME0071439
FL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
07/10/2007
Last updated
09/19/2019
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