Provider Demographics
NPI:1568419877
Name:DOBROWOLSKI, JAN J (MD)
Entity type:Individual
Prefix:DR
First Name:JAN
Middle Name:J
Last Name:DOBROWOLSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7593 W BOYNTON BEACH BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-6162
Mailing Address - Country:US
Mailing Address - Phone:561-649-7000
Mailing Address - Fax:
Practice Address - Street 1:10115 FOREST HILL BLVD STE 200
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-3104
Practice Address - Country:US
Practice Address - Phone:561-877-8351
Practice Address - Fax:844-768-2781
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME89607207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001137800Medicaid
AZ849870Medicaid
AZ849870Medicaid
FL001137800Medicaid
FLBK463ZMedicare PIN