NPI 1003321118
Phoenix Obstetrics and Gynecology LLC
Practice location
- Address
- 601 W Atlantic Blvd Fl 2, Pompano Beach, FL 33060-5916
- Phone
- (469) 401-2386
- Mailing address
- 5565 Centerview Dr STE 107, Raleigh, NC 27606-3563
Authorised official
- Name
- Kathleen Kondas
- Title
- Officer
- Phone
- (877) 328-1119
Registered specialties
Obstetrics & Gynecology Physician
Primary
Registry record
- NPI
- 1003321118
- Entity type
- Organization
- NPI issued
- 12 Dec 2017
- Record last updated
- 15 Jul 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.