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NPI Code Detail

MEDICARE: DR. JAN J DOBROWOLSKI M.D.

MEDICARE: DR. JAN J DOBROWOLSKI M.D.
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
1207RG0300XGeriatric Medicine (Internal Medicine) PhysicianME89607FL
2207R00000XInternal Medicine PhysicianME89607FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568419877
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAN J DOBROWOLSKI M.D.
Provider Business Mailing Address
First Line : 7593 W BOYNTON BEACH BLVD STE 220
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33437-6162
Country : US
Telephone Number : 561-649-7000
Fax Number :
Provider Business Practice Location Address
First Line : 10115 FOREST HILL BLVD STE 200
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-3104
Country : US
Telephone Number : 561-877-8351
Fax Number : 844-768-2781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 05/14/2025

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