Healthcare Provider Details

I. General information

NPI: 1487683843
Provider Name (Legal Business Name): JANIS A JONES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 01/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5205 GREENWOOD AVE SUITE 251
WEST PALM BEACH FL
33407-2400
US

IV. Provider business mailing address

5205 GREENWOOD AVE SUITE 251
WEST PALM BEACH FL
33407-2400
US

V. Phone/Fax

Practice location:
  • Phone: 561-848-8701
  • Fax: 561-848-9059
Mailing address:
  • Phone: 561-848-8701
  • Fax: 561-848-9059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME0037019
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME37019
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: