Organization
BIG WATER EMERGENCY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
1796 US HIGHWAY 441 N, OKEECHOBEE, FL 34972-1918
(973) 251-1132
Mailing address
PO BOX 37872, PHILADELPHIA, PA 19101-0172
(973) 251-1132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/21/2012
Last updated
12/09/2019
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