Provider Demographics
NPI:1194783324
Name:DOLINKY, ADRIENNE BETH (ARNP)
Entity type:Individual
Prefix:MS
First Name:ADRIENNE
Middle Name:BETH
Last Name:DOLINKY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 FLORIDA PARK DR N
Mailing Address - Street 2:SUITE B
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-3892
Mailing Address - Country:US
Mailing Address - Phone:386-447-1803
Mailing Address - Fax:
Practice Address - Street 1:10 FLORIDA PARK DR N
Practice Address - Street 2:SUITE B
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-3892
Practice Address - Country:US
Practice Address - Phone:386-447-1803
Practice Address - Fax:386-447-1842
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9189535363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU0347UOtherMEDICARE ID
FL305578700Medicaid
FLU0347UOtherMEDICARE ID