MEDICARE: BRUCE E. JANKE MD

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	207X00000X	Orthopaedic Surgery Physician	ME0074452	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2145973	OTHER	FL	AETNA
2	65-1039722	OTHER	FL	HUMANA
3	65-0834146	OTHER	FL	ORTHOPEDIX NETWORK HMO
4	023410	OTHER	FL	NEIGHBORHOOD HMO
5	42424	OTHER	FL	BS OF FL HEALTH OPTIONS
6	ME 0074452	OTHER	FL	WORKERS COMPENSATION

General Provider Information

NPI Number	:	1942243886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRUCE E. JANKE MD

Provider Business Mailing Address
First Line	:	1201 E SAMPLE RD
Second Line	:	2ND FLOOR
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-6242
Country	:	US
Telephone Number	:	954-942-4433
Fax Number	:	954-942-0448

Provider Business Practice Location Address
First Line	:	1201 E SAMPLE RD
Second Line	:	2ND FLOOR
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-6242
Country	:	US
Telephone Number	:	954-942-4433
Fax Number	:	954-942-0448

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

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	10/16/2024

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Directions to “ BRUCE E. JANKE MD” Practice Location

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