Organization
DIXIE HIGHWAY INPATIENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
20900 BISCAYNE BLVD, AVENTURA, FL 33180-1407
(305) 682-7000
(727) 536-2896
Mailing address
18167 US HIGHWAY 19 N, SUITE 650, CLEARWATER, FL 33764-3528
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/14/2012
Last updated
12/21/2020
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