Individual
DR. NIRAJ JAYSUKH GUSANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 PALM AVE, JACKSONVILLE, FL 32207-8457
(904) 202-7300
(904) 202-2754
Mailing address
PO BOX 746654, ATLANTA, GA 30374-6654
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD428146
PA
208600000X
Surgery Physician
ME147077
FL
2086X0206X
Surgical Oncology Physician
MD428146
PA
2086X0206X
Surgical Oncology Physician
Primary
ME147077
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017602290002
—
PA
Enumeration date
08/23/2006
Last updated
01/22/2026
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