Provider Demographics
NPI:1407962897
Name:JANOLO, ESTEBAN LABRADOR JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ESTEBAN
Middle Name:LABRADOR
Last Name:JANOLO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 WESTMORELAND CIR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-5463
Mailing Address - Country:US
Mailing Address - Phone:407-348-8813
Mailing Address - Fax:407-348-4486
Practice Address - Street 1:203 WESTMORELAND CIR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-5463
Practice Address - Country:US
Practice Address - Phone:407-348-8813
Practice Address - Fax:407-348-4486
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME67483208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL262344700Medicaid
FL262344700Medicaid
FL26521YMedicare ID - Type Unspecified