Organization
EAGLE PEAK EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(919) 518-5000
Entity
Organization
Contact information
Practice address
36810 US HIGHWAY 27 N, HAINES CITY, FL 33844-2302
(407) 530-2000
Mailing address
5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
(973) 251-1132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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