Organization
OCEANWIND ER SVCS PARTNERSHIP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
809 E MARION AVE, PUNTA GORDA, FL 33950-3819
(941) 637-2529
(941) 637-2912
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276128900
—
FL
01
—
72473
BLUE SHIELD
FL
Enumeration date
05/05/2006
Last updated
12/22/2020
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