Organization
PRESERVATION PARK EMERGENCY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MARIE KONDAS (AO)
(973) 251-1132
Entity
Organization
Contact information
Practice address
11800 SHERRI LN, MIAMI, FL 33183-4832
(305) 630-7900
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
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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