Individual
JANELLE PEERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3030 HARDEN BLVD, LAKELAND, FL 33803-7952
(863) 284-6800
(863) 284-6825
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MANAGED CARE DEPT., LAKELAND, FL 33805-4543
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2009005458
MO
208000000X
Pediatrics Physician
Primary
ME130622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019660800
—
FL
05
—
1538362272
—
MO
Enumeration date
06/08/2007
Last updated
02/24/2023
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