Provider Demographics
NPI:1386635019
Name:EAKLE, JANICE F (MD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:F
Last Name:EAKLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 102222
Mailing Address - Street 2:ATTN CREDENTIALING DEPT
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30368-2222
Mailing Address - Country:US
Mailing Address - Phone:239-274-8200
Mailing Address - Fax:239-278-3350
Practice Address - Street 1:600 N CATTLEMEN RD
Practice Address - Street 2:SUITE #200
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6422
Practice Address - Country:US
Practice Address - Phone:941-377-9993
Practice Address - Fax:941-343-0026
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2022-08-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME80481207RH0000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00050008OtherRR MEDICARE
FL266965000Medicaid
FLP00050008OtherRR MEDICARE
FLH90251Medicare UPIN
FL266965000Medicaid