DR. ELENA ZELMANOVICH KRUGLYAK (NPI# 1265420020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265420020 |
| Entity Type | Individual |
| Full Name | DR. ELENA ZELMANOVICH KRUGLYAK |
| Credential | M.D. |
| Practice Address |
9970 Central Park Blvd N Suite 304 Boca Raton FL 33428-2231 |
| Mailing Address |
2234 Colonial Blvd Attn: Payer Contracting & Relations Dept. Fort Myers FL 33907-1412 |
| Practice Telephone | 5614826611 |
| Practice Fax Number | 5614823056 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2017-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | ME68735 | FL | Other Service Providers |
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
ME68735 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MOLINA | QMP000003849305 | 01 |
| FL | CIGNA | 6550599 | 01 |
| FL | FREEDOM | P1001984 | 01 |
| FL | WELLCARE | 1255024 | 01 |
| FL | AVMED | 252889 | 01 |
| FL | AETNA | 5475027 | 01 |
| FL | BCBS | 27290 | 01 |
| FL | RR MEDICARE | DELRAY456 | 01 |
| FL | DIMENSION HEALTH | 6664 | 01 |
| FL | 264956000 | 05 | |
| FL | OPTIMUM | P954880 | 01 |
| Street Address |
9970 CENTRAL PARK BLVD N SUITE 304 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33428-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445736 | Luis Yomtov Salazar | Internal Medicine | 9970 Central Park Blvd N, Ste 101, Boca Raton, FL 33428-2231 | 2005-05-31 |
| 1770089559 | Jolie Cannata | Obstetrics & Gynecology | 9970 Central Park Blvd N, Boca Raton, FL 33428-2231 | 2018-04-02 |
| 1851893986 | Alla Stepanova | Nurse Practitioner | 9970 Central Park Blvd N, Boca Raton, FL 33428-2231 | 2018-03-05 |
| 1831568179 | 21st Century Oncology LLC | Urology | 9970 Central Park Blvd N, Suite 207, Boca Raton, FL 33428-2231 | 2015-09-16 |
| 1831567296 | Gensiscare Usa of Florida LLC | Internal Medicine | 9970 Central Park Blvd N, Suite 304, Boca Raton, FL 33428-2231 | 2015-09-02 |
| 1093101784 | Island Life Md LLC | Family Medicine | 9970 Central Park Blvd N, Suite 102, Boca Raton, FL 33428-2231 | 2015-04-09 |
| 1033522677 | Krista Farnes | Specialist/Technologist | 9970 Central Park Blvd N, Suite 300, Boca Raton, FL 33428-2231 | 2014-06-10 |
| 1487085809 | Palm Beach Psychology Group, LLC | Psychologist | 9970 Central Park Blvd N, Sutie 207, Boca Raton, FL 33428-2231 | 2013-12-11 |
| 1952656951 | Jennifer Cadena Lopez | Physician Assistant | 9970 Central Park Blvd N, Suite 403, Boca Raton, FL 33428-2231 | 2012-07-17 |
| 1174881163 | Katherine Paige Crawford | Physical Therapist | 9970 Central Park Blvd N, Suite 300-b, Boca Raton, FL 33428-2231 | 2012-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016604 | Eliane Dos Santos Lamarche | Behavior Technician | 11514 Country Sound Ct, Boca Raton, FL 33428 | 2018-06-09 |
| 1447740840 | Wilzade Joseph | Assisted Living Facility | 22319 Sw 65th Ave, Boca Raton, FL 33428 | 2018-05-11 |
| 1477065316 | Pamela Manning | Nurse Practitioner | 9864 Grand Verde Way Apt 1507, Boca Raton, FL 33428 | 2017-11-01 |
| 1912428624 | Carole Mandat | Assistant Behavior Analyst | 11083 Baybreeze Way, Boca Raton, FL 33428 | 2017-07-03 |
| 1679025571 | Tam Thu Tran | Physician Assistant | 22864 Neptune Road, Boca Raton, FL 33428 | 2016-10-27 |
| 1922458355 | Zurab Akakievich Iosava | Specialist/Technologist, Other | 21644 State Road 7. (hwy 441), Boca Raton, FL 33428 | 2016-06-16 |
| 1497125280 | Robert Jay Drimmer | Internal Medicine | 21357 Bridgeview Drive, Boca Raton, FL 33428 | 2015-10-06 |
| 1710391966 | Pathway 2 Recovery Gold Coast | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428 | 2014-06-16 |
| 1134564727 | Mary Margaret Spitzer | Nurse Practitioner | 9980 Central Park Blvdn, Boca Ration, FL 33428 | 2013-05-08 |
| 1619312816 | Alan Wasserman | Dentist | 22053 S.r. 7, Boca Raton, FL 33428 | 2013-05-02 |
| Find all providers in zip 33428 | ||||
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851389514 | Samarth Lakshmaiah Reddy | Internal Medicine | 9970 Central Park Blvd N, Suite 304, Boca Raton, FL 33428 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051482 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 5130 Linton Blvd Ste B4, Delray Beach, FL 33484-6595 | 2020-10-21 |
| 1063054153 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 5985 Silver Falls Run, Suite 200, Bradenton, FL 34211-1291 | 2019-10-10 |
| 1750857397 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 900 Pine St Ste 111, Englewood, FL 34223-4457 | 2018-10-22 |
| 1598290694 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 2257 Us Highway 441 N, Suite C, Okeechobee, FL 34972-1943 | 2017-04-26 |
| 1831622299 | American Oncology Network LLC | Internal Medicine | 9160 Forum Corporate Pkwy, Suite 350, Fort Myers, FL 33905-7805 | 2017-04-04 |
| 1841656733 | Florida Cancer Specialists P L | Internal Medicine | 3355 Wedgewood Ln, The Villages, FL 32162-7181 | 2016-01-07 |
| 1437528080 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 1301 2nd Ave Sw Ste 290, Largo, FL 33770-3120 | 2015-09-24 |
| 1114346988 | Sherise Chantell Rogers | Internal Medicine | Division of Hematology/oncology 2000 Sw Archer Road, Gainesville, FL 32610-0001 | 2014-04-09 |
| 1528402393 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 7463 State Road 52, Hudson, FL 34667-6714 | 2013-04-24 |
| 1265775209 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 4801 S Congress Ave Ste 400, Lake Worth, FL 33461-4746 | 2013-03-28 |
| Find all providers with the same taxonomy | ||||
| City | BOCA RATON |
| Zip Code | 33428 |
Please comment or provide details below to improve the information on DR. ELENA ZELMANOVICH KRUGLYAK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.