Provider Demographics
NPI:1447441837
Name:DOMBROWSKY, NORBERT (DC)
Entity type:Individual
Prefix:DR
First Name:NORBERT
Middle Name:
Last Name:DOMBROWSKY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:472 SW FUGE RD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-6269
Mailing Address - Country:US
Mailing Address - Phone:777-781-2651
Mailing Address - Fax:
Practice Address - Street 1:472 SW FUGE RD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-6269
Practice Address - Country:US
Practice Address - Phone:777-781-2651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8308111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0200XChiropractic ProvidersChiropractorRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH8308OtherLICENSE NUMBER