NPI 1104337294

Desoto Lakes Emergency Physicians LLC

Organisation Emergency Medicine Physician Bradenton, FL

Practice location

Address: 8500 Sr 70 East, Bradenton, FL 34202
Phone: (469) 401-2386
Mailing address: 13737 Noel Rd, Dallas, TX 75240-1331

Authorised official

Name: Kathy Kondas
Title: Officer
Phone: (973) 251-1132

Registered specialties (3)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

Other Emergency Medicine providers in Florida →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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Registry record

NPI: 1104337294
Entity type: Organization
NPI issued: 17 Oct 2017
Record last updated: 21 Dec 2020

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.