Sitha Konopack MD

NPI 1104112770 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1104112770
Gender Female
Enumeration Date 06/22/2011
Last Updated 10/17/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
86 W UNDERWOOD ST
SUITE 200
ORLANDO FL, 32806-1110, US
Phone (407) 237-6329
Fax (407) 649-3083
Business Location
86 W UNDERWOOD ST
SUITE 200
ORLANDO FL, 32806-1110, US
Phone (407) 237-6329
Fax (407) 649-3083
Toxanomy
Taxonomy Code 390200000X
License State Florida
License Number TRN16312
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According to our database, Dr. Sitha Konopack MD NPI is 1104112770, taxonomy code is 390200000X and license number is TRN16312, license state is located at Florida. Sitha Konopack MD physically located at 86 W Underwood St, Orlando FL, 32806-1110. NPI Number Sitha Konopack MD has the Individual type.

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1104112770 NPI number is provided on an as is basis without warranty of any kind. 1104112770 is maintained by the National Plan & Provider Enumeration System. The contents of Sitha Konopack MD are for informational purposes only.