Individual
DR. JANINE K CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3317 W MULLEN AVE, TAMPA, FL 33609-4657
(813) 382-4630
Mailing address
3317 W MULLEN AVE, TAMPA, FL 33609-4657
(813) 382-4630
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
12140
FL
1223P0300X
Periodontics
Primary
DN12140
FL
Other
Enumeration date
03/06/2007
Last updated
01/14/2025
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