Organization
SHERIDAN HEALTHCARE OF ARKANSAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
700 W GROVE ST, EL DORADO, AR 71730-4416
(870) 864-3390
Mailing address
PO BOX 452035, SUNRISE, FL 33345-2035
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154824002
—
AR
Enumeration date
11/29/2005
Last updated
09/18/2019
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