Organization
DOCKYARD EMERGENCY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7521
(772) 335-4000
Mailing address
PO BOX 37855, PHILADELPHIA, PA 19101-0155
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
02/15/2012
Last updated
12/22/2020
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