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NPI Code Detail

MEDICARE: DR. DOLES JADOTTE PHD

MEDICARE:  DR. DOLES  JADOTTE  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
21041C0700XClinical Social WorkerSW20325FL

General Provider Information

NPI Number : 1255215794
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOLES JADOTTE PHD
Provider Business Mailing Address
First Line : 20826 SAN SIMEON WAY APT 51L
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33179-1882
Country : US
Telephone Number : 786-487-9512
Fax Number :
Provider Business Practice Location Address
First Line : 20826 SAN SIMEON WAY APT 51L
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33179-1882
Country : US
Telephone Number : 786-487-9512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2025
Last Update Date : 08/05/2025

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Directions to “ DR. DOLES JADOTTE PHD” Practice Location

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