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Organization

FL-I MEDICAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(919) 518-5000
Entity
Organization

Contact information

Practice address
6700 LAKE NONA BLVD, ORLANDO, FL 32827-7729
(689) 216-8000
Mailing address
5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
(973) 251-1132

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
05/26/2022
Last updated
09/13/2022
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