Organization
GRASSY WATERS 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
8201 W BROWARD BLVD, PLANTATION, FL 33324-2701
(954) 473-6600
Mailing address
PO BOX 37868, PHILADELPHIA, PA 19101-0168
(800) 507-8874
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
03/14/2012
Last updated
12/22/2020
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