Jack Irvin Newcomer in Wellington - Sports Medicine

Jack Irvin Newcomer - NPI 1750498259

Jack Irvin Newcomer is a Sports Medicine in Wellington, Florida. Jack Irvin Newcomer practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jack Irvin Newcomer is 1750498259. The last update date is 2016-03-03.

Jack Irvin Newcomer's current location address is 3319 State Road 7, Wellington, Florida. You can contact this provider via phone number 5617982800 and fax number 5617936631. The mailing address for Jack Irvin Newcomer is 3319 State Road 7, Wellington, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Irvin Newcomer
Address 3319 State Road 7, Wellington, Florida
Phone Number 5617982800
Fax Number 5617936631
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1750498259
Provider Enumeration Date 2006-08-23
Last Updated Date 2016-03-03

Provider Mailing Address Detail

Address 3319 State Road 7
City Wellington
State Florida (FL)
Post Code 334498094
Phone Number 5617982800
Fax Number 5617936631

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No ME0048252
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

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FAQs about Jack Irvin Newcomer

What is the unique 10-digit identifier code assigned to Jack Irvin Newcomer by the Centers for Medicare & Medicaid Services?

The Jack Irvin Newcomer has been issued the NPI (National Provider Identifier) 1750498259 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Jack Irvin Newcomer is located?

The Jack Irvin Newcomer is situated at the following address: 3319 State Road 7, Wellington, FL, 334498094.

What is Jack Irvin Newcomer's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jack Irvin Newcomer's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qs0010X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1750498259 to Jack Irvin Newcomer?

The Centers for Medicare & Medicaid Services originally issued the 1750498259 to Jack Irvin Newcomer on 2006-08-23.

As of what date were the Jack Irvin Newcomer's details last updated?

The information pertaining to the Jack Irvin Newcomer, including its address, specialty, and other details, was most recently updated on 2016-03-03.

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