Individual
ERICK M CONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
137 CALLISTO WAY, ST JOHNS, FL 32259-1229
(347) 825-4083
Mailing address
137 CALLISTO WAY, ST JOHNS, FL 32259-1229
(347) 825-4083
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/26/2022
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