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Organization

MUDIT JAIN MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MUDIT JAIN (MD)
(954) 585-6292
Entity
Organization

Contact information

Practice address
300 NW 70TH AVE, SUITE 105, PLANTATION, FL 33317-2384
(954) 585-6292
(954) 585-6290
Mailing address
300 NW 70TH AVE, SUITE 105, PLANTATION, FL 33317-2384
(954) 585-6292
(954) 585-6290

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME75960
FL

Other

Enumeration date
02/05/2009
Last updated
07/16/2009
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