Kondroski, Elaine M.
Kondroski, Elaine M. is an individual health care provider with primary practice located at 1344 S Apollo Blvd Ste 102, Melbourne FL 32901-3183. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Body Imaging is her primary health care specialty. Kondroski, Elaine M. can be contacted via phone (321) 777-7888.Contact Information
Primary practice address
1344 S Apollo Blvd Ste 102
Melbourne FL 32901-3183
Phone: (321) 777-7888
Fax: (321) 773-7738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME34649 | Florida |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | ME34649 | Florida |
Profile Details
| NPI number | 1962472217 |
|---|---|
| LBN Legal business name | Kondroski, Elaine M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Feb 21st, 2024 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962472217 | NPPES |
| Florida | Other | NONE | EVOLUTIONS |
| Florida | Other | 6975755 | EVOLUTIONS |
| Florida | Other | 9725373 | EVOLUTIONS |
| Florida | Other | NONE | EVOLUTIONS |
| Florida | Other | 01421142 | EVOLUTIONS |
| Florida | Other | NONE | EVOLUTIONS |
| Florida | Other | NONE | EVOLUTIONS |
| Florida | Other | NONE | EVOLUTIONS |
| Florida | Other | P00921811 | EVOLUTIONS |
| Florida | MEDICAID | 253839300 | EVOLUTIONS |
| Florida | Other | 8011362 | EVOLUTIONS |
| Florida | Other | NONE | EVOLUTIONS |
| Florida | Other | 03865 | EVOLUTIONS |
| Florida | Other | 6975755 | EVOLUTIONS |
| Florida | Other | NONE | EVOLUTIONS |
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