Provider Demographics
NPI:1164860466
Name:DOMBROWSKA, AGNIESZKA (DO)
Entity Type:Individual
Prefix:DR
First Name:AGNIESZKA
Middle Name:
Last Name:DOMBROWSKA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4685 S CONGRESS AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-4761
Mailing Address - Country:US
Mailing Address - Phone:561-548-8600
Mailing Address - Fax:561-548-8650
Practice Address - Street 1:4685 S CONGRESS AVE STE 201
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-4761
Practice Address - Country:US
Practice Address - Phone:561-548-8600
Practice Address - Fax:561-548-8650
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-07
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS20565208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery