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

Desoto Lakes Emergency Physicians LLC

Organization Emergency Medicine Physician · NPI 1104337294

Desoto Lakes Emergency Physicians LLC is an Emergency Medicine Physician in Bradenton, Florida. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
3
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

8500 Sr 70 E
Bradenton, FL 34202
Phone: (469) 401-2386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1104337294
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Kondas — Officer · (973) 251-1132
NPI enumeratedOctober 17, 2017
Last updated in NPPESDecember 21, 2020
Certification dateDecember 21, 2020
Mailing address13737 Noel Rd, Dallas, TX 75240-1331

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