Individual
JAROSLAV F ONDRUSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2817 EAST 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) 303-3750
(954) 343-1016
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME69418
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379380000
—
FL
Enumeration date
05/22/2006
Last updated
11/19/2009
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