Individual
DR. ELAINE M. KONDROSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
1344 S APOLLO BLVD, STE 102, MELBOURNE, FL 32901-3183
(321) 777-7888
(321) 773-7738
Mailing address
1344 S APOLLO BLVD STE 406, MELBOURNE, FL 32901-3185
(321) 727-2990
(321) 724-0455
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
EVOLUTIONS
FL
01
—
P00921811
RAILROAD MEDICARE
FL
Enumeration date
01/26/2006
Last updated
02/21/2024
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