Provider Demographics
NPI:1477544385
Name:JANOUSKY, STUART H (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:H
Last Name:JANOUSKY
Suffix:
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 1:1890 W COUNTY ROAD 419 STE 2010
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-4402
Mailing Address - Country:US
Mailing Address - Phone:407-635-5588
Mailing Address - Fax:321-842-4001
Practice Address - Street 1:1890 W COUNTY ROAD 419 STE 2010
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-4402
Practice Address - Country:US
Practice Address - Phone:407-635-5588
Practice Address - Fax:321-842-4001
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME47314208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL252651400Medicaid
FL252651400Medicaid