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Individual

DR. ELAINE M. KONDROSKI

Active
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Individual

DR. ELAINE M. KONDROSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M. D.

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
ME34649
FL
2085R0202X
Diagnostic Radiology Physician
ME34649
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01421142
AMERIGROUP
FL
01
—
03865
BCBS OF FL
FL
05
—
253839300
—
FL
01
—
6975755
CIGNA
FL
01
—
8011362
AETNA HMO
FL
01
—
9725373
AETNA PPO
—
01
—
NONE
HUMANA CHOICE
FL
01
—
P00921811
RAILROAD MEDICARE
FL
Enumeration date
01/26/2006
Last updated
02/21/2024
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