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DR. SERGEY M KONDRASHOV
NPI 1760093678
Speech-Language Pathologist in Lake Wales, FL

Active since August 13, 2020
427 BURNS AVE, LAKE WALES, FL 33853(863) 679-3338 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sergey M Kondrashov NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SERGEY M KONDRASHOV (NPI 1760093678) is an individual speech-language pathologist provider in Lake Wales, Florida, licensed in Florida (SZ9514) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1760093678
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameDR. SERGEY M KONDRASHOV
Location Address427 BURNS AVELake Wales, FL 33853-3314
Mailing Address6548 Timber Shores RdLake Wales, FL 33898-9061 · (337) 442-3899
Phone(863) 679-3338
Sole ProprietorYes
Enumeration DateAugust 13, 2020
NPPES CertifiedAugust 13, 2020
✔ NPI 1760093678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in FL · SZ9514
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
427 BURNS AVE, Lake Wales, FL 33853
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Other Names 1

Former Name (1)Mr. Serguei M Kondrachov

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIAM BAEZ CCC-SLP
Speech-Language Pathologist
427 BURNS AVE
LAKE WALES, FL 33853
Polk County (863) 679-3338
ITZA MARIE NIEVES GONZALEZ
Specialist/Technologist (Speech-Language Assistant)
427 BURNS AVE
LAKE WALES, FL 33853
Polk County (863) 679-3338
AIREL BROWN
Specialist/Technologist (Speech-Language Assistant)
427 BURNS AVE
LAKE WALES, FL 33853
Polk County (863) 679-3338
ELIZABETH MICHELE KOELSCH MA, CCC-SLP
Speech-Language Pathologist
427 BURNS AVE
LAKE WALES, FL 33853
Polk County (863) 679-3338
MS. ROCIO RESUCHE I SLPA
Specialist/Technologist (Speech-Language Assistant)
427 BURNS AVE
LAKE WALES, FL 33853
Polk County (863) 679-3338
BRENDA ARNOLD PTA
Physical Therapy Assistant
427 BURNS AVE
LAKE WALES, FL 33853
Polk County (863) 679-3338
DR. JACQUELINE COLLIER SWALE DPT
Physical Therapist
427 BURNS AVE
LAKE WALES, FL 33853
Polk County (863) 679-3338
MATTHEW ISAAC POVILAITIS
Specialist/Technologist (Speech-Language Assistant)
427 BURNS AVE
LAKE WALES, FL 33853
Polk County (863) 679-3338

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sergey Kondrashov's NPI number?

The NPI number for Sergey Kondrashov is 1760093678. It was assigned to this individual provider in the NPPES registry on August 13, 2020. The provider is also known as Mr. Serguei M Kondrachov.

Where is Sergey Kondrashov located?

Sergey Kondrashov practices at 427 Burns Ave, Lake Wales, FL 33853. The listed phone number is (863) 679-3338.

What is Sergey Kondrashov's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Sergey Kondrashov was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.