# MR. JERRY JANIEC

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588685291
- **Gender:** Man
- **Credential:** PA C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0207X | Pediatric Hematology & Oncology Physician | PA1716 | FL | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 02/13/2008