Organization
RADIOLOGY ASSOCIATES OF HOLLYWOOD, INC.
Active
Other names
Radiology Associates of Hollywood PA
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(877) 328-1119
Entity
Organization
Contact information
Practice address
500 N. HIATUS RD, SUITE 200, PEMBROKE PINES, FL 33026
(954) 437-4800
(954) 437-6628
Mailing address
5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015989000
—
FL
05
—
261391300
—
FL
01
—
K2457
MEDICARE ID
FL
Enumeration date
06/03/2006
Last updated
07/08/2021
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