Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | ME80481 | FL |
Y | 207RX0202X | Medical Oncology | ME80481 | FL |
NPI | 1386635019 |
---|---|
Provider Name | Dr. Janice F. Eakle |
First Address | Fort Myers, FL 33916-2216 |
Second Address | Sarasota, FL 34232-6422 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 08/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
266965000 | (05) | FL |
57750 | BCBS (01) | FL |
H90251 | (02) | FL |
P00050008 | RR MEDICARE (01) | FL |