Provider Demographics
NPI:1558338558
Name:CHEATWOOD, JANICE ANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:ANNE
Last Name:CHEATWOOD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 BRYAN RD
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-5342
Mailing Address - Country:US
Mailing Address - Phone:813-681-4418
Mailing Address - Fax:
Practice Address - Street 1:303 BRYAN RD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5342
Practice Address - Country:US
Practice Address - Phone:813-681-4418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6646111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor