Individual
DR. ELENA KRUGLYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5130 LINTON BLVD STE B4, DELRAY BEACH, FL 33484-6595
(561) 808-0098
(561) 496-0592
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME68735
FL
207RH0000X
Hematology (Internal Medicine) Physician
ME68735
FL
207RX0202X
Medical Oncology Physician
Primary
ME68735
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102794200
—
FL
01
—
1255024
WELLCARE
FL
01
—
252889
AVMED
FL
05
—
264956000
—
FL
01
—
27290
BCBS
FL
01
—
5475027
AETNA
FL
01
—
6550599
CIGNA
FL
01
—
6664
DIMENSION HEALTH
FL
01
—
DELRAY456
RR MEDICARE
FL
01
—
P1001984
FREEDOM
FL
01
—
P954880
OPTIMUM
FL
01
—
QMP000003849305
MOLINA
FL
Enumeration date
10/06/2005
Last updated
07/31/2024
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