Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Sergey M Kondrashov

Individual provider Speech-Language Pathologist · NPI 1760093678

Dr. Sergey M Kondrashov is a Speech-Language Pathologist in Lake Wales, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
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Practice location Address checks out

427 Burns Ave
Lake Wales, FL 33853-3314
Phone: (863) 679-3338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SZ9514 (FL)

Record details

NPI number1760093678
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 13, 2020
Last updated in NPPESAugust 13, 2020
Certification dateAugust 13, 2020

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