Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Australian Lungfish Surgical Specialists LLC

Organization Surgery Physician · NPI 1285031583

Australian Lungfish Surgical Specialists LLC is a Surgery Physician in Fort Walton Beach, Florida. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708
Phone: (469) 401-2386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Trauma Surgery Physician Taxonomy 2086S0127X

Record details

NPI number1285031583
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Kondas — Officer · (317) 614-9871
NPI enumeratedDecember 2, 2014
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021
Mailing address5565 Centerview Dr Ste 107, Raleigh, NC 27606-3563

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