Provider Demographics
NPI:1467631267
Name:JANOWER, DONALD R (DO)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:R
Last Name:JANOWER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7723 WIND KEY DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-5704
Mailing Address - Country:US
Mailing Address - Phone:561-859-4649
Mailing Address - Fax:561-482-4214
Practice Address - Street 1:7723 WIND KEY DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-5704
Practice Address - Country:US
Practice Address - Phone:561-859-4649
Practice Address - Fax:561-482-4214
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-29
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS3631207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE375595Medicare UPIN