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Individual

VIDYA SAGAR JAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 ZEAGLER DR, STE 100, PALATKA, FL 32177
(386) 325-7711
(386) 325-3020
Mailing address
800 ZEAGLER DR, STE 100, PALATKA, FL 32177
(386) 325-7711
(386) 325-3020

Taxonomy

Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
ME57658
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
063376300
FL
Enumeration date
01/13/2006
Last updated
03/04/2010
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