Glidden Park Inpatient Services, LLC
Hospitalist in Fort Pierce, FL. Organization (NPI-2).
NPI number1770856536
StatusActive
Last updated in NPPESDec 21, 2020
Details
- NPI
- 1770856536
- Entity type
- Organization (NPI-2)
- Legal business name
- Glidden Park Inpatient Services, LLC
- Organization subpart
- No
- Enumeration date
- Feb 9, 2012
- Certification date
- Dec 21, 2020
- Last updated
- Dec 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | – | – | Yes |
Practice location
1700 S 23rd StFort Pierce, FL 34950-4803
Phone 772-461-4000
Mailing address
Po Box 37853Philadelphia, PA 19101-0153
Phone 954-838-2371
Authorized official
Kathleen Kondas
Officer
9732511132
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