Individual
PRASAD KONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13005 SOUTHERN BLVD, SUITE 145, LOXAHATCHEE, FL 33470-9206
(561) 798-5500
(561) 795-3341
Mailing address
13005 SOUTHERN BLVD, SUITE 145, LOXAHATCHEE, FL 33470-9206
(561) 798-5500
(561) 795-3341
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
43981
FL
Other
Enumeration date
02/20/2006
Last updated
06/27/2011
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