Individual
JANELL LYNN TABORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6801 LAKE WORTH RD STE 213-214, LAKE WORTH, FL 33467-2955
(561) 444-2351
(561) 469-7089
Mailing address
6801 LAKE WORTH RD STE 213-214, LAKE WORTH, FL 33467-2955
(561) 444-2351
(561) 469-7089
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
137482
FL
2084P0800X
Psychiatry Physician
336101952
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107183900
—
FL
Enumeration date
05/23/2013
Last updated
09/20/2022
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