Provider Demographics
NPI:1487683843
Name:JONES, JANIS A (MD)
Entity type:Individual
Prefix:DR
First Name:JANIS
Middle Name:A
Last Name:JONES
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 1:5205 GREENWOOD AVE
Mailing Address - Street 2:SUITE 251
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2400
Mailing Address - Country:US
Mailing Address - Phone:561-848-8701
Mailing Address - Fax:561-848-9059
Practice Address - Street 1:5205 GREENWOOD AVE
Practice Address - Street 2:SUITE 251
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2400
Practice Address - Country:US
Practice Address - Phone:561-848-8701
Practice Address - Fax:561-848-9059
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0037019208000000X
FLME37019208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL066864800Medicaid
FL066864800Medicaid