Provider Demographics
NPI:1861577025
Name:OLINSKY, DAVID IRA (DPM)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:IRA
Last Name:OLINSKY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N UNIVERSITY DR STE 110
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2039
Mailing Address - Country:US
Mailing Address - Phone:954-815-4446
Mailing Address - Fax:
Practice Address - Street 1:201 N UNIVERSITY DR STE 110
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2039
Practice Address - Country:US
Practice Address - Phone:954-727-6164
Practice Address - Fax:949-222-2781
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3273213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL87328BMedicare PIN
FL87328AMedicare PIN