Organization
EDGARD JANER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGARD JANER MD (PRESIDENT)
(813) 962-4119
Entity
Organization
Contact information
Practice address
3411 W FLETCHER AVE STE A, TAMPA, FL 33618-2813
(813) 962-4119
(813) 962-3278
Mailing address
PO BOX 342159, TAMPA, FL 33694
(813) 962-4119
(813) 962-3278
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME0065277
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253149600
—
FL
Enumeration date
07/30/2009
Last updated
10/19/2009
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