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Individual

DR. JANET JENKIN IMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1651 N SEMORAN BLVD, ORLANDO, FL 32807-3575
(407) 249-1234
(407) 249-1755
Mailing address
1651 N SEMORAN BLVD, ORLANDO, FL 32807-3575
(407) 249-1234
(407) 249-1755

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
48806-20
WI
208000000X
Pediatrics Physician
Primary
ME120333
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
012330900
FL
Enumeration date
09/29/2005
Last updated
02/09/2021
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