MICHELLE JANICKI

TAMPA, FL
NPI1083973887
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: FL  PA9106533)
Enumeration Date2012-05-14
Last Update Date2012-05-14
Business Address
-- MICHELLE JANICKI PA-C
12880 COMMODITY PL
TAMPA, FL 33626-3101
Phone number: 813-343-5500
Mailing Address
-- MICHELLE JANICKI PA-C
1905 ROBINHILL CT
TUCKER, GA 30084-7020
Phone number: 404-403-2816
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