Individual
AIMEE JANUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3003 W. MLK BLVD, MAB 3RD FL., TAMPA, FL 33607
(813) 870-4948
(813) 870-4770
Mailing address
2901 58TH AVE N, ST PETERSBURG, FL 33714
(727) 822-4300
(727) 456-1399
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9325057
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014323900
—
FL
Enumeration date
02/12/2015
Last updated
12/26/2018
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