Organization
JOSEPH F CONDON, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH F CONDON (OWNER)
(941) 626-5291
Entity
Organization
Contact information
Practice address
3417 TAMIAMI TRL STE A, PORT CHARLOTTE, FL 33952-8158
(978) 440-0380
(877) 349-5062
Mailing address
3417 TAMIAMI TRL STE A, PORT CHARLOTTE, FL 33952-8158
(978) 440-0380
(877) 349-5062
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME148837
LICENSE
FL
Enumeration date
08/11/2021
Last updated
10/04/2024
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