MEDICARE: MRS. JANIS LOUISE BANET M.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA7803	FL

General Provider Information

NPI Number	:	1295921567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANIS LOUISE BANET M.A.

Provider Business Mailing Address
First Line	:	2755 DOVER GLEN CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-7525
Country	:	US
Telephone Number	:	407-277-7270
Fax Number	:

Provider Business Practice Location Address
First Line	:	2755 DOVER GLEN CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-7525
Country	:	US
Telephone Number	:	407-277-7270
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2007
Last Update Date	:	09/20/2007

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Directions to “ MRS. JANIS LOUISE BANET M.A.” Practice Location

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