Jain, Vidya Sagar

Jain, Vidya Sagar is an sole proprietor health care provider with primary practice located at 800 Zeagler Dr Ste 100, Palatka FL 32177. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery of the Hand, which is considered as his primary health care specialty. Jain, Vidya Sagar can be contacted via phone (386) 325-7711.

Contact Information

Primary practice address
800 Zeagler Dr Ste 100 Palatka FL 32177
Fax: (386) 325-3020
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X ME57658 Florida

Profile Details

NPI number 1750360046
LBN Legal business name Jain, Vidya Sagar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2006
Last updated Mar 4th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750360046 NPPES
Florida MEDICAID 063376300

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