Organization
SPLIT MOUNTAIN EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(877) 328-1119
Entity
Organization
Contact information
Practice address
322 SW PINE ISLAND, RD, CAPE CORAL, FL 33991
(941) 629-1181
Mailing address
5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
(877) 328-1119
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
11/10/2021
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