Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Phoenix Obstetrics and Gynecology LLC

Organization Obstetrics & Gynecology Physician · NPI 1285637066

Phoenix Obstetrics and Gynecology LLC is an Obstetrics & Gynecology Physician in Ft Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
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

1600 S Andrews Ave Ste 323 West Wing
Ft Lauderdale, FL 33316-2510
Phone: (954) 355-5110
Fax: (919) 425-0478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence ME43546 (FL)

Record details

NPI number1285637066
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Kondas — Officer · (877) 328-1119
NPI enumeratedMay 24, 2005
Last updated in NPPESJuly 15, 2021
Certification dateJuly 15, 2021
Mailing address5565 Centerview Dr Ste 107, Raleigh, NC 27606-3563

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