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Individual
JACK IRVIN NEWCOMER
Active
Individual
JACK IRVIN NEWCOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME0048252
FL
Other
Enumeration date
08/23/2006
Last updated
03/03/2016
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