Provider Demographics
NPI:1942243886
Name:JANKE, BRUCE E (MD)
Entity type:Individual
Prefix:
First Name:BRUCE
Middle Name:E
Last Name:JANKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1201 E SAMPLE RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-6242
Mailing Address - Country:US
Mailing Address - Phone:954-942-4433
Mailing Address - Fax:954-942-0448
Practice Address - Street 1:1201 E SAMPLE RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-6242
Practice Address - Country:US
Practice Address - Phone:954-942-4433
Practice Address - Fax:954-942-0448
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0074452207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2145973OtherAETNA
FL65-1039722OtherHUMANA
FL65-0834146OtherORTHOPEDIX NETWORK HMO
FL023410OtherNEIGHBORHOOD HMO
FL42424OtherBS OF FL HEALTH OPTIONS
FLME 0074452OtherWORKERS COMPENSATION
FLBJ4953003OtherDEA
FL65-1039722OtherHUMANA
FLF74091Medicare UPIN