Organization
LAKE NONA EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
6700 LAKE NONA BLVD, ORLANDO, FL 32827-7729
(689) 216-8000
Mailing address
5380 TECH DATA DR STE 101, CLEARWATER, FL 33760-3122
(973) 251-1132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
02/10/2023
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