Provider Demographics
NPI:1568727584
Name:SAULIUS J JANKAUSKAS MD
Entity Type:Organization
Organization Name:SAULIUS J JANKAUSKAS MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SAULIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:JANKAUSKAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-834-5255
Mailing Address - Street 1:521 W STATE ROAD 434
Mailing Address - Street 2:SUITE 106
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-4984
Mailing Address - Country:US
Mailing Address - Phone:407-834-5255
Mailing Address - Fax:
Practice Address - Street 1:521 W STATE ROAD 434
Practice Address - Street 2:SUITE 106
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-4984
Practice Address - Country:US
Practice Address - Phone:407-834-5255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-05
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty