Condono, Elaine S

Condono, Elaine S is an sole proprietor health care provider with primary practice located at 5538 Vintage View Pass , Lakeland FL 33812-4061. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Condono, Elaine S can be contacted via phone (301) 653-9169.

Contact Information

Primary practice address
5538 Vintage View Pass Lakeland FL 33812-4061
Phone: (301) 653-9169
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X OS11752 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02095 West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS11752 Florida

Profile Details

NPI number 1902913460
LBN Legal business name Condono, Elaine S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2006
Last updated Oct 25th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902913460 NPPES
West Virginia MEDICAID 3810011078

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