Individual
JONATHAN SKUROWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
4964 SW 34TH TER, FORT LAUDERDALE, FL 33312-7924
(954) 579-0431
Mailing address
4964 SW 34TH TERRACE, FORT LAUDERDALE, FL 33312
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
16-24376
FL
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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