Organization
SHERIDAN ANESTHESIA SERVICES OF LOUISANA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
4630 AMBASSADOR CAFFERY PKWY, SUITE 101, LAFAYETTE, LA 70508-6949
(337) 993-1193
Mailing address
PO BOX 452287, SUNRISE, FL 33345-2287
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/08/2009
Last updated
09/18/2019
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