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Organization

JACK M TRAINOR MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACK M TRAINOR MD (PRESIDENT)
(954) 772-6977
Entity
Organization

Contact information

Practice address
4701 N FEDERAL HWY, SUITE A-10, FORT LAUDERDALE, FL 33308-4608
(954) 772-6977
Mailing address
4701 N FEDERAL HWY, SUITE A-10, FORT LAUDERDALE, FL 33308-4608
(954) 772-6977

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
07/23/2010
Last updated
07/23/2010
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