Individual
NIKITA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3630 MANATEE AVE W, BRADENTON, FL 34205-2557
(941) 792-1881
(941) 795-3924
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125073109
IL
207RH0000X
Hematology (Internal Medicine) Physician
ME178655
FL
207RH0003X
Hematology & Oncology Physician
54925
KY
207RH0003X
Hematology & Oncology Physician
83395
WI
207RX0202X
Medical Oncology Physician
Primary
ME178655
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129830400
—
FL
Enumeration date
06/30/2018
Last updated
02/20/2026
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