Organization
ANESTHESIOLOGY ASSOCIATES OF TALLAHASSEE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(877) 328-1119
Entity
Organization
Contact information
Practice address
2173 CENTERVILLE PL STE A, TALLAHASSEE, FL 32308-8303
(850) 385-0144
(850) 385-0146
Mailing address
5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161212900
OWCP
FL
05
—
272948200
—
FL
01
—
99338
BCBS
FL
01
—
C30145
RAILROAD
FL
01
—
CH8571
RAILROAD
FL
Enumeration date
11/15/2005
Last updated
07/20/2021
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