MEDICARE: DR. ERIC CRAIG JANOWITZ D.C.

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	111N00000X	Chiropractor	CH8042	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	53875	OTHER	FL	BCBS OF FL INDIVIDAUL NUM

General Provider Information

NPI Number	:	1457400111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC CRAIG JANOWITZ D.C.

Provider Business Mailing Address
First Line	:	1791 E BROADWAY ST
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-8597
Country	:	US
Telephone Number	:	407-359-2757
Fax Number	:	407-359-7464

Provider Business Practice Location Address
First Line	:	1791 E BROADWAY ST
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-8597
Country	:	US
Telephone Number	:	407-359-2757
Fax Number	:	407-359-7464

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

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	03/17/2020

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