Individual
DR. JACK MARSHALL TRAINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4701 N FEDERAL HWY, SUITE A-39, FT LAUDERDALE, FL 33308-4608
(954) 771-8177
(954) 771-3629
Mailing address
2829 NE 33RD CT, #405, FT LAUDERDALE, FL 33306-2028
(954) 564-5725
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME77382
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME77382
MEDICAL LICENSE
FL
Enumeration date
06/20/2006
Last updated
07/08/2007
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