Individual
JONATHAN KUDROWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6931 W BROWARD BLVD, PLANTATION, FL 33317-2902
(954) 321-5191
(954) 321-5192
Mailing address
6385 SWEET MAPLE LN, BOCA RATON, FL 33433-1934
(561) 289-7661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105136
FL
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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