Organization
PSJ PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARUN JAIN M.D. (PRESIDENT)
(321) 507-4572
Entity
Organization
Contact information
Practice address
3765 KINGS HWY, COCOA, FL 32927-5152
(321) 507-4572
Mailing address
3765 KINGS HWY, COCOA, FL 32927-5152
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME101579
FL
Other
Enumeration date
06/26/2012
Last updated
01/13/2017
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