Individual provider Active NPI

Jonathan Kudrowitz, PA-C

  • Physician Assistant
  • Plantation, FL
National Provider Identifier
1265761548
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9105136 Issued in FL
Practice address
6931 W Broward Blvd
Plantation, FL 33317-2902
Phone
(954) 321-5191
Fax
(954) 321-5192
NPI assigned
Dec 15, 2009
Last updated
Dec 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9105136 FL Primary

Addresses

Primary practice location

6931 W Broward Blvd
Plantation, FL 33317-2902

Mailing address

6385 Sweet Maple LN
Boca Raton, FL 33433-1934
Phone (561) 289-7661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100607000716 FL Practitioner - Physician Assistant 2264562990 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Relymd Virtual Health Ga LLCGroup PAC ID 2466997945, 14 clinicians
Relymd Virtual Health Ca PCGroup PAC ID 3971094590, 6 clinicians
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

12227 Stonelake Ranch Blvd
Thonotosassa, FL 33592-3910
Phone (813) 943-3426

19108 Winslow Ter
Boca Raton, FL 33434-5546
Phone (561) 617-6624

4455 Medical Ctr Way
West Palm Beach, FL 33407-3244
Phone (561) 881-0066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Relymd Virtual Health Regional, PC CurrentSince Aug 15, 2025 Accepting new patients
Relymd Virtual Health Ca, PC CurrentSince Oct 4, 2025 Accepting new patients
American Current Care P.a. CurrentSince Jun 25, 2018 Accepting new patients
Relymd Virtual Health TX, PA CurrentSince Nov 19, 2025 Accepting new patients
American Current Care PA CurrentSince Jun 25, 2018 Accepting new patients
U.S. Healthworks Medical Group of Florida, Inc. Past Accepting new patients
Chiro Worx Injury Center Inc PastSince Aug 14, 2022 Accepting new patients

Locations

1007 W Commercial Blvd
Ft Lauderdale, FL 33309
Phone (954) 564-2592

1036 Dunn Ave
Ste 10
Jacksonville, FL 32218
Phone (904) 903-5520

7800 NW 25th St
Ste 4
Miami, FL 33122
Phone (305) 593-2174

4455 Medical Center Way
West Palm Beach, FL 33407
Phone (561) 881-0066

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1265761548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6385 SWEET MAPLE LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334331934",
            "telephone_number": "561-289-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6931 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172902",
            "telephone_number": "954-321-5191",
            "fax_number": "954-321-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDROWITZ",
        "first_name": "JONATHAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.