SOUTHEAST PERINATAL ASSOCIATES INC. NPI 1477535508

NPI Information

  • NPI: 1477535508
  • Provider Name: SOUTHEAST PERINATAL ASSOCIATES, INC.
  • Classification: Obstetrics & Gynecology - 207VM0101X
  • Specialization: Maternal & Fetal Medicine
  • Entity Type: Organization
  • CLIA Number: 10D0964619
  • Address: 220 SW 84TH AVE
    SUITE 104
    PLANTATION, FL
    ZIP 33324
  • Phone: (954) 476-6229

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NPI Details

SOUTHEAST PERINATAL ASSOCIATES, INC. is a maternal and fetal medicine obstetrics gynecology in Plantation, FL. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. SOUTHEAST PERINATAL ASSOCIATES, INC. NPI is 1477535508. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

220 SW 84TH AVE
SUITE 104
PLANTATION, FL
ZIP 33324-754
Phone: (954) 476-6229
Fax: (954) 476-4679

The provider's authorized official is Kathleen Kondas .
The authorized official title is Officer and has the following contact phone number (877) 328-1119.

The CLIA number assigned to this NPI record is 10D0964619 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2005 and was last updated on 7/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyNo
2207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
138634OTHERFLORIDABCBS
2255648101MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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