Organization
SANDEEP JAIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDEEP JAIN MD (OWNER)
(954) 792-0304
Entity
Organization
Contact information
Practice address
7420 NW 5TH ST, SUITE 103, PLANTATION, FL 33317-1611
(954) 792-0304
(954) 587-8686
Mailing address
7420 NW 5TH ST, SUITE 103, PLANTATION, FL 33317-1611
(954) 792-0304
(954) 587-8686
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME65687
FL
Other
Enumeration date
02/11/2009
Last updated
07/16/2009
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