Organization
PRESERVATION PARK EMERGENCY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MARIE KONDAS (OFFICER)
(919) 518-5000
Entity
Organization
Contact information
Practice address
19605 S DIXIE HWY, CUTLER BAY, FL 33157-7724
(561) 798-3300
Mailing address
5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
(973) 251-1132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
02/14/2023
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