Healthcare Provider Details

I. General information

NPI: 1700935566
Provider Name (Legal Business Name): DR ERIC JANOWITZ PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 01/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1791 E BROADWAY ST
OVIEDO FL
32765-9744
US

IV. Provider business mailing address

1791 E BROADWAY ST
OVIEDO FL
32765-9744
US

V. Phone/Fax

Practice location:
  • Phone: 407-359-2757
  • Fax: 407-359-7464
Mailing address:
  • Phone: 407-359-2757
  • Fax: 407-359-7464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH10002
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH10156
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH8042
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberARNP3070982
License Number StateFL

VIII. Authorized Official

Name: DR. ERIC CRAIG JANOWITZ
Title or Position: PRESIDENT
Credential: D.C.
Phone: 407-359-2757