Individual
MRS. ELIZABETH TERESA KONDRACKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
226 COASTAL HILL DRIVE, INDIAN HARBOUR BEACH, FL 32937-2751
(321) 777-5152
(321) 777-5152
Mailing address
226 COASTAL HILL DRIVE, INDIAN HARBOUR BEACH, FL 32937-2751
(321) 777-5152
(321) 777-5152
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME41037
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0699039
—
FL
Enumeration date
02/25/2008
Last updated
02/25/2008
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