Individual
JARED GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 45TH ST, WEST PALM BEACH, FL 33407-2047
(561) 964-7511
(561) 964-7544
Mailing address
5503 S CONGRESS AVE, SUITE 205, ATLANTIS, FL 33462-6625
(561) 964-7511
(561) 964-7544
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME96912
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000358500
—
FL
Enumeration date
10/16/2006
Last updated
11/05/2014
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