Organization
GLIDDEN PARK INPATIENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
(772) 461-4000
Mailing address
PO BOX 37853, PHILADELPHIA, PA 19101-0153
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
02/09/2012
Last updated
12/21/2020
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