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Individual

DR. JACK SOL FAINTUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1011 GRAND COURT, HIGHLAND BEACH, FL 33487
(561) 271-2500
(561) 620-3004
Mailing address
1011 GRAND COURT, HIGHLAND BEACH, FL 33487
(561) 271-2500

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME56702
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
062595700
FL
Enumeration date
08/27/2008
Last updated
08/27/2008
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