Organization
FLORIDA REGIONAL INTENSIVIST SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
2901 W SWANN AVE, TAMPA, FL 33609-4056
(813) 873-6400
Mailing address
5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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