Individual
JENNIFER W. JANELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 294-5481
(352) 758-2180
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
(352) 294-5481
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME0071197
FL
207RI0200X
Infectious Disease Physician
Primary
ME71197
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005628600
—
FL
Enumeration date
08/30/2006
Last updated
12/13/2013
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