Provider Demographics
NPI:1881883494
Name:JAIN, SIMA (MD)
Entity type:Individual
Prefix:DR
First Name:SIMA
Middle Name:
Last Name:JAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 S APOPKA VINELAND RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-3127
Mailing Address - Country:US
Mailing Address - Phone:407-876-5555
Mailing Address - Fax:407-876-5557
Practice Address - Street 1:4800 S APOPKA VINELAND RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-3127
Practice Address - Country:US
Practice Address - Phone:407-876-5555
Practice Address - Fax:407-876-5557
Is Sole Proprietor?:No
Enumeration Date:2007-10-19
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME102573207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology