OrganizationActive
Desoto Lakes Emergency Physicians LLC
NPI 1104337294 · Emergency Medicine Physician · Bradenton, FL
Provider details
- NPI number
- 1104337294
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kathy Kondas, Officer(973) 251-1132
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
8500 Sr 70 East
Bradenton, FL 34202
Phone: (469) 401-2386
Approximate (ZIP-level) locationGet directions
Mailing address
13737 Noel Rd
Dallas, TX 75240-1331
Registry dates
- Enumerated
- 2017-10-17
- Last updated
- 2020-12-21
- Certified
- 2020-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.