Southeast Perinatal Associates, INC.

Obstetrics & Gynecology, Maternal & Fetal Medicine in Plantation, FL. Organization (NPI-2).

NPI number1477535508

StatusActive

Last updated in NPPESJul 13, 2021

Details

NPI: 1477535508
Entity type: Organization (NPI-2)
Legal business name: Southeast Perinatal Associates, INC.
Organization subpart: No
Enumeration date: Nov 15, 2005
Certification date: Jul 13, 2021
Last updated: Jul 13, 2021

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207VM0101X	Obstetrics & Gynecology, Maternal & Fetal Medicine	–	–	Yes
207V00000X	Obstetrics & Gynecology	–	–

Practice location

220 Sw 84th Ave
Suite 104
Plantation, FL 33324-2754

Phone 954-476-6229 · Fax 954-476-4679

Mailing address

5565 Centerview Dr Ste 107
Raleigh, NC 27606-3563

Authorized official

Kathleen Kondas
Officer
8773281119

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Maternal & Fetal Medicine Physician providers in Plantation, FL

All 7 Maternal & Fetal Medicine Physician providers in Plantation · All 4,967 providers in Plantation

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