Individual
DR. JANIE E THERIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
595 N NOVA RD STE 118, ORMOND BEACH, FL 32174-4429
(386) 235-9058
Mailing address
125 LINKS TERRACE BLVD, DAYTONA BEACH, FL 32124-3031
(337) 570-9102
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME172943
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/26/2020
Last updated
05/23/2025
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