Provider Demographics
NPI:1437547122
Name:ORLANSKY, JONATHAN (MED)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:ORLANSKY
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 N 53RD AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-2333
Mailing Address - Country:US
Mailing Address - Phone:601-672-1605
Mailing Address - Fax:
Practice Address - Street 1:3501 N 53RD AVE
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-2333
Practice Address - Country:US
Practice Address - Phone:601-672-1605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-02
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1-14-16883103K00000X
FL1-14-16883103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst