Provider Demographics
NPI:1538385299
Name:JALOSINSKI, ROBERT (MD,)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:JALOSINSKI
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23433 OLDE MEADOWBROOK CIR
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34134-9133
Mailing Address - Country:US
Mailing Address - Phone:239-495-9908
Mailing Address - Fax:
Practice Address - Street 1:850 CENTRAL AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6030
Practice Address - Country:US
Practice Address - Phone:239-495-9908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME827962084P0804X
MI43010695762084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry