Individual
DR. REENA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5301 S CONGRESS AVE, ATLANTIS, FL 33462-1149
(954) 507-6780
(561) 548-3702
Mailing address
PO BOX 741087, ATLANTA, GA 30374-1087
(954) 507-6780
(561) 548-3702
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
0101236947
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME157019
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010104157
—
VA
Enumeration date
07/14/2006
Last updated
02/19/2024
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