# JOHN J JANICK MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528287521
- **Authorized official:** MS. KATHY WHITE (BUSINESS MANAGER)
- **Authorized official phone:** (941) 629-3366

## Contact information

- **Practice address:** 4369 TAMIAMI TRAIL, STE. A, CHARLOTTE HAROBR, FL 33980
- **Practice address phone:** (941) 629-3366
- **Practice address fax:** (941) 629-6999
- **Mailing address:** 4369 TAMIAMI TRAIL, STE. A, CHARLOTTE HARBOR, FL 33980
- **Mailing address phone:** (941) 629-3366
- **Mailing address fax:** (941) 629-6999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 02/18/2010