Provider Demographics
NPI:1639220783
Name:MINELLA, JANET LEE (MD)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:LEE
Last Name:MINELLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4306 BARRACUDA DR
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-8457
Mailing Address - Country:US
Mailing Address - Phone:941-714-0848
Mailing Address - Fax:
Practice Address - Street 1:2020 CATTLEMEN RD
Practice Address - Street 2:SUITE 600
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6283
Practice Address - Country:US
Practice Address - Phone:941-955-5191
Practice Address - Fax:941-366-7582
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81563208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics