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NPI Code Detail

MEDICARE: COLIN JANIS

MEDICARE: COLIN JANIS
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
1183500000XPharmacistPS69213FL

General Provider Information

NPI Number : 1104785989
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLIN JANIS
Provider Business Mailing Address
First Line : 800 N HOWARD AVE UNIT 210
Second Line :
City : TAMPA
State : FL
Zip : 33606-1077
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 110 BULLARD PKWY
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33617-5510
Country : US
Telephone Number : 630-432-0651
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “ COLIN JANIS ” Practice Location

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