Individual
DR. SUMEET VIDYA JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-6631
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME138603
FL
2086S0102X
Surgical Critical Care Physician
Primary
ME138603
FL
2086S0127X
Trauma Surgery Physician
ME138603
FL
390200000X
Student in an Organized Health Care Education/Training Program
ME138603
FL
Other
Enumeration date
05/24/2012
Last updated
05/04/2022
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