Provider Demographics
NPI:1891267357
Name:STORINO, JANNA MARIA
Entity Type:Individual
Prefix:
First Name:JANNA
Middle Name:MARIA
Last Name:STORINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4879 VIA PALM LKS APT 617
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-2726
Mailing Address - Country:US
Mailing Address - Phone:561-376-0760
Mailing Address - Fax:
Practice Address - Street 1:8198 S JOG RD STE 100
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-2998
Practice Address - Country:US
Practice Address - Phone:561-376-0760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-21
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2252171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist