Provider Demographics
NPI:1457400111
Name:JANOWITZ, ERIC CRAIG (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:CRAIG
Last Name:JANOWITZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1791 E BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-8597
Mailing Address - Country:US
Mailing Address - Phone:407-359-2757
Mailing Address - Fax:407-359-7464
Practice Address - Street 1:1791 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-8597
Practice Address - Country:US
Practice Address - Phone:407-359-2757
Practice Address - Fax:407-359-7464
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8042111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL53875OtherBCBS OF FL INDIVIDAUL NUM
FL53875ZMedicare ID - Type UnspecifiedINDIVIDUAL MEDICARE NUMBE
FL53875OtherBCBS OF FL INDIVIDAUL NUM