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Individual

DR. DEEPANSHU JAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
410 CELEBRATION PL STE 106, CELEBRATION, FL 34747-5432
(407) 303-4829
(407) 303-4851
Mailing address
410 CELEBRATION PL STE 106, CELEBRATION, FL 34747-5432
(407) 303-4829
(407) 303-4851

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
85072
GA
207RG0100X
Gastroenterology Physician
Primary
ME154899
FL
390200000X
Student in an Organized Health Care Education/Training Program
MT204096
PA

Other

Enumeration date
07/05/2013
Last updated
07/28/2022
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