Organization
P KONDA MD PA
Active
Parent organization
DR. PRASAD KONDA
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. PRASAD KONDA
Authorized official
PRASAD KONDA MD (OWNER)
(561) 798-5500
Entity
Organization
Contact information
Practice address
13005 SOUTHERN BLVD, SUITE 145, LOXAHATCHEE, FL 33470-9206
(561) 798-5500
(561) 795-3341
Mailing address
13005 SOUTHERN BLVD, SUITE 145, LOXAHATCHEE, FL 33470-9206
(561) 798-5500
(561) 795-3341
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME43981
FL
Other
Enumeration date
05/15/2007
Last updated
11/07/2016
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