Surani, Jasvant S

Surani, Jasvant S is an sole proprietor health care provider with primary practice located at 1050 37Th Pl Suite 104, Vero Beach FL 32960-6501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Surani, Jasvant S can be contacted via phone (772) 569-3212.

Contact Information

Primary practice address
1050 37Th Pl Suite 104 Vero Beach FL 32960-6501
Phone: (772) 569-3212
Fax: (772) 569-1435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1383591 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME103068 Florida

Profile Details

NPI number 1780644070
LBN Legal business name Surani, Jasvant S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Aug 27th, 2014 - about 10 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 1780644070 NPPES
Other 000401250001 BLUE SHIELD
Other 76E60 BLUE SHIELD
MEDICAID 00561486 BLUE SHIELD
Other 040426006769 BLUE SHIELD
Other 26112 BLUE SHIELD
Other 10002697 BLUE SHIELD

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