Organization
VIDYA S JAIN MD PA
Active
Other names
jain hand surgery center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIDYA S JAIN MD PA (OWNER)
(386) 325-7711
Entity
Organization
Contact information
Practice address
800 ZEAGLER DR STE 100, PALATKA, FL 32177-3827
(386) 325-7711
(386) 325-3020
Mailing address
800 ZEAGLER DR STE 100, PALATKA, FL 32177-3827
(386) 325-7711
(386) 325-3020
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME57658
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063376300
—
FL
Enumeration date
01/05/2009
Last updated
01/05/2009
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