Provider Demographics
NPI:1275521478
Name:CHENG, JANET FLORES (MD)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:FLORES
Last Name:CHENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 DEL PRADO BLVD N
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-2287
Mailing Address - Country:US
Mailing Address - Phone:239-458-1131
Mailing Address - Fax:239-458-7789
Practice Address - Street 1:326 DEL PRADO BLVD N
Practice Address - Street 2:SUITE 301
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-2287
Practice Address - Country:US
Practice Address - Phone:239-458-1131
Practice Address - Fax:239-458-7789
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME74107207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL070011273OtherRAILROAD MEDICARE
FL42398OtherBLUECROSS/BLUESHIELD
FL42398Medicare ID - Type Unspecified
FL070011273OtherRAILROAD MEDICARE