Individual
DR. DEBORAH JAENICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
86 W UNDERWOOD ST STE 2001, ORLANDO, FL 32806-1110
(407) 841-5133
(407) 237-6313
Mailing address
86 W UNDERWOOD ST STE 2001, ORLANDO, FL 32806-1110
(407) 841-5133
(407) 237-6313
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME167860
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN32848
FL
Other
Enumeration date
07/08/2021
Last updated
01/03/2025
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