person
Mr. Brian Janke Janke, PA-C
Surgical Physician Assistant in Merritt Island, Florida
NPI 1851493134

Brian Janke Janke is a Surgical Physician Assistant based in Cocoa, FL and is specialized in Surgical. Brian Janke Janke practices in Merritt Island, FL and has the professional credentials of PA-C. The NPI Number for Brian Janke Janke is 1851493134 and holds a License No. PA 9102122 (Florida).

The current practice location address for Brian Janke Janke is 205 Platt Ave, Merritt Island, FL and can be reached out via phone at 321-615-4800 and via fax at 321-574-0590.

Location: 205 Platt Ave, Merritt Island, FL, 32923-0362
person
Provider Profile Details
NPI Number
1851493134
Provider Name
Brian Janke Janke
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
205 Platt Ave, Merritt Island, FL, 32923-0362
Phone Number
321-615-4800
Fax Number
321-574-0590
Provider Enumeration Date
09/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K9613 01 FL MEDICARE GROUP ID #
institution
Provider Business Practice Location Address Details
Address
205 Platt Ave
City
State
Zip
32952-4963
Phone Number
321-615-4800
Fax Number
321-574-0590
person
Provider Business Mailing Address Details
Address
205 Platt Ave
City
State
Zip
32952-4963
Phone Number
321-615-4800
Fax Number
321-574-0590
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA 9102122 (Florida)
Definition
Definition to come...
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