Individual provider · Type 1 NPI

Brian Janke Janke, PA-C

Surgical Physician Assistant · Merritt Island, FL

NPI number 1851493134 Active

Practice location

205 Platt Ave
Merritt Island, FL 32952-4963

Fax (321) 574-0590

Mailing address

PO Box 362
Cocoa, FL 32923-0362

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA 9102122 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1851493134

Brian Janke Janke, PA-C's National Provider Identifier is 1851493134, issued on Sep 5, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Merritt Island, FL. The record was last updated on Dec 8, 2010.