| Doctor Name: | DR. MICHAEL JANSON |
| NPI Number: | 1255526398 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 33496 |
| Business Practice Address: | 225 N Causeway New Smyrna Beach, FL - 321695239 |
| Business Phone Number: | 3864097747 |
| Business Fax Number: | |
| Mailing Address: | 202 Dune Cir, NEW SMYRNA BEACH |
| State: | FL |
| Postal Code: | 321692008 |
| Phone Number: | 6038782256 |
| Fax Number: | |
| NPI Enumeration Date: | 09/12/2007 |
| NPI Last Update Date: | 09/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 33496 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |