Manuel G Jain, MD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0031133 Issued in FL

Legal business name

MANUEL G JAIN, MD, LLC

Practice address

105 S Dixie Dr
Haines City, FL 33844-2844

Phone

(863) 422-8404

NPI assigned

May 22, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Dallas L Dunne

Title

Account Rep Assist

Phone

(813) 685-2191

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1871750299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E ROBERTSON ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115253",
            "telephone_number": "813-685-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S DIXIE DR",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338442844",
            "telephone_number": "863-422-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL G JAIN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "DUNNE",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ACCOUNT REP ASSIST",
        "authorized_official_telephone_number": "813-685-2191",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0031133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luv Thy Neighbor
• Jennea L Lyking, RN
• M-K of Haines City L L C
• Isidro Tucker Madrid Jr.
• Fidencio Maldonado Rios
• Makeia Keshon Martin
• Marisa Martin
• Flavia Martinez Acosta
• Clovis Airton Martins Braga Jr.
• Sukumar Mathan, M.D.

• Internal Medicine Physician in Haines City, FL
• Providers in Haines City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.