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Physician Compare National (NPI:1881883494)

HEALTHCARE PROVIDER: SIMA JAIN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1881883494
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5799853446
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120126000306
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name JAIN
Individual professional last name
Provider First Name SIMA
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 2004
Individual professional's medical school graduation year
Primary Specialty DERMATOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 7300 SANDLAKE COMMONS BLVD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 300
Group Practice or individual's line 2 address
City ORLANDO
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 328198011
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment M

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