Individual
DR. JEANNE-MARIE FANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1132
(863) 687-1439
Mailing address
7934 DARLINGTON CIR, LAKELAND, FL 33809-6831
(863) 287-7866
(727) 507-3618
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0076001
FL
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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