Allen R Condo MS

NPI 1588654008 - Family Medicine - 207Q00000X

NPI Details
NPI 1588654008
Gender Male
Enumeration Date 10/26/2005
Last Updated 01/18/2010
Entity Type Individual
Active Over 12 years ago
Practice Location
MALABAR FL, 32950-3140, US
Phone (321) 409-6800
Fax (321) 409-6810
Business Location
MELBOURNE FL, 32901-2607, US
Phone (321) 725-4500
Fax (321) 409-6810
Taxonomy Code 207Q00000X
License State Florida
License Number ME72243
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According to our database, Allen R Condo MS NPI is 1588654008, taxonomy code is 207Q00000X and license number is ME72243, license state is located at Florida. Allen R Condo MS physically located at 730 Malabar Rd, Malabar FL, 32950-3140. NPI Number Allen R Condo MS has the Individual type.

1588654008 NPI number is provided on an as is basis without warranty of any kind. 1588654008 is maintained by the National Plan & Provider Enumeration System. The contents of Allen R Condo MS are for informational purposes only.