Healthcare Provider Details

I. General information

NPI: 1073928354
Provider Name (Legal Business Name): JOEL S. WOLINSKY, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2014
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 JOSHUA RD
WEATHERFORD TX
76087-6036
US

IV. Provider business mailing address

PO BOX 62428
FORT MYERS FL
33906-2428
US

V. Phone/Fax

Practice location:
  • Phone: 281-265-1776
  • Fax: 239-215-0065
Mailing address:
  • Phone: 281-265-1776
  • Fax: 239-215-0065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberK1135
License Number StateTX

VIII. Authorized Official

Name: DR. JOEL SCOTT WOLINSKY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 281-265-1776