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Individual

AMIT JAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1775 ONE HEALING PLACE, 2ND FLOOR, TALLAHASSEE, FL 32308
(850) 431-5360
(850) 431-5367
Mailing address
1775 ONE HEALING PLACE, 2ND FLOOR, TALLAHASSEE, FL 32308
(850) 431-5360
(850) 431-5367

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R-7754
IA
207RH0003X
Hematology & Oncology Physician
01066391A
IN
207RH0003X
Hematology & Oncology Physician
Primary
ME112407
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00708618
RR MEDICARE
IA
Enumeration date
05/23/2007
Last updated
08/06/2012
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