Individual
INGRID KATARINA HUDAKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1442 FUNSTON ST, HOLLYWOOD, FL 33020-6428
(561) 255-4879
Mailing address
PO BOX 23577, TIGARD, OR 97281-3577
(561) 255-4879
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61016661
WA
363A00000X
Physician Assistant
9104962
FL
Other
Enumeration date
10/06/2009
Last updated
04/08/2025
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