License Verification

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JONATHAN TROY KUDROWITZ

License Number: PA9105136

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9105136
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/03/2009
Address of Record
1007 WEST COMMERCIAL BLVD.
Concentra
FT LAUDERDALE, FL 33309
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
12170 West Sunrise Blvd
PLANTATION, FL 33323
Address
311 South Cypress Road Concentra
POMPANO BEACH, FL 33060
Address
4455 Medical Center Way Concentra
WEST PALM BCH, FL 33407
Address
12170 West Sunrise Blvd Concentra
SUNRISE, FL 33323
Address
1347 South Andrews Avenue Concentra
FORT LAUDERDALE, FL 33316
Address
141 MW 20th Street Suite C9 Concentra
BOCA RATON, FL 33431
Address
4455 Medical Center Way Concentra
WEST PALM BCH, FL 33407
Address
12170 W. Sunrise Blvd Concentra
PLANTATION, FL 33323
Name Relationship Profession License Effective Date
MARTIN, GERARD J Supervising Prescribing Practitioner Medical Doctor 114724 03/27/2023

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/23/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


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