Organization
JERRY F ONDRUSEK MD PA
Active
Organization
JERRY F ONDRUSEK MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAROSLAV F ONDRUSEK MD (PRESIDENT)
(954) 343-1016
Entity
Organization
Contact information
Practice address
2817 E OAKLAND PARK BLVD, SUITE 100, FORT LAUDERDALE, FL 33306-1889
(954) 302-3750
(954) 343-1016
Mailing address
2598 NW 27TH ST, BOCA RATON, FL 33434-3654
(954) 302-3750
(954) 343-1016
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME69418
FL
Other
Enumeration date
06/05/2007
Last updated
11/19/2009
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