Individual
JASVANT S SURANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 37TH PL, SUITE 104, VERO BEACH, FL 32960-6501
(772) 569-3212
(772) 569-1435
Mailing address
1050 37TH PL, SUITE 104, VERO BEACH, FL 32960-6501
(772) 569-3212
(772) 569-1435
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1383591
NY
208000000X
Pediatrics Physician
Primary
ME103068
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000401250001
BLUE SHIELD
—
05
—
00561486
—
NY
01
—
040426006769
FIDELIS
—
01
—
10002697
CPHP
NY
01
—
26112
MVP
NY
01
—
76E60
EMPIRE BC
—
Enumeration date
03/23/2006
Last updated
08/27/2014
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