P Konda MD PA

NPI #1376759316 in Loxahatchee, Florida

Provider Information

NPI Number: 1376759316
Entity Type: Organization
Organization Name: P Konda MD PA
Subpart: Yes (part of a larger organization)
Parent Organization: DR. PRASAD KONDA
Primary Specialty: Specialist
Enumeration Date: May 15, 2007
Last Updated: Nov 7, 2016

Practice Location

Address: 13005 SOUTHERN BLVD
Address 2: SUITE 145
City: Loxahatchee
State: Florida
ZIP Code: 33470-9206
Phone: (561) 798-5500

Authorized Official

Name: PRASAD KONDA, MD
Title: OWNER
Phone: (561) 798-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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