Individual
TARUN JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3765 KINGS HWY, COCOA, FL 32927-5152
(321) 507-4572
(321) 507-4411
Mailing address
3765 KINGS HWY, COCOA, FL 32927-5152
(321) 507-4572
(321) 507-4411
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME101579
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000098200
—
FL
Enumeration date
11/23/2005
Last updated
01/13/2017
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