Provider Demographics
NPI:1386863504
Name:DOLINSKY, JEROME M (DC)
Entity Type:Individual
Prefix:
First Name:JEROME
Middle Name:M
Last Name:DOLINSKY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6670 TAFT STREET
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024
Mailing Address - Country:US
Mailing Address - Phone:954-961-6400
Mailing Address - Fax:954-961-6449
Practice Address - Street 1:6670 TAFT STREET
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024
Practice Address - Country:US
Practice Address - Phone:954-961-6400
Practice Address - Fax:954-961-6449
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0001717111N00000X
CO4120111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor