Organization
SOUTHEAST PERINATAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
2235 N COMMERCE PKWY, BUILDING 5, #2, WESTON, FL 33326-3251
(954) 389-2700
(954) 349-7772
Mailing address
PO BOX 817087, HOLLYWOOD, FL 33081-1087
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38634
BCBS
FL
Enumeration date
11/17/2005
Last updated
09/19/2019
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