Organization
GENERAL SURGERY OF JUPITER MEDICAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(877) 328-1119
Entity
Organization
Contact information
Practice address
901 45TH ST, MANGONIA PARK, FL 33407-2413
(877) 328-1119
Mailing address
5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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