Individual
ED JANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 NW 97TH BLVD STE N, GAINESVILLE, FL 32606-7342
(352) 333-9700
Mailing address
131 SW 84TH TER, GAINESVILLE, FL 32607-1434
(352) 317-5101
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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