Organization
PREMIERE PERINATAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
1600 S ANDREWS AVE, PREMIERE PERINATAL ASSOCIATES, FT LAUDERDALE, FL 33316-2510
(954) 355-5110
(919) 425-0478
Mailing address
500 SE 17TH ST, SUITE 100, FT LAUDERDALE, FL 33316-2547
(919) 425-1565
(919) 425-0478
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
ME43546
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273189402
—
FL
Enumeration date
05/08/2006
Last updated
10/14/2019
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