Organization
ANESTHESIOLOGY ASSOCIATES OF TALLAHASSEE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
2535 CAPITAL MEDICAL BLVD, SUITE 200, TALLAHASSEE, FL 32308-4674
(850) 385-0144
(850) 385-0146
Mailing address
1613 NW 136TH AVE, BUILDING C, SUITE #200, SUNRISE, FL 33323-2853
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272948201
—
FL
01
—
99338
BCBS
FL
Enumeration date
11/17/2005
Last updated
08/09/2019
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