Healthcare Provider Details

I. General information

NPI: 1831396696
Provider Name (Legal Business Name): ADVANCED DIAGNOSTICS & PAIN MANAGEMENT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2007
Last Update Date: 06/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6670 TAFT ST
HOLLYWOOD FL
33024-4011
US

IV. Provider business mailing address

6670 TAFT ST
HOLLYWOOD FL
33024-4011
US

V. Phone/Fax

Practice location:
  • Phone: 954-961-6400
  • Fax: 954-961-6449
Mailing address:
  • Phone: 954-961-6400
  • Fax: 954-961-6449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. JEROME M DOLINSKY
Title or Position: OWNER
Credential: D.C.
Phone: 954-961-6400