Individual
JACK IRVIN NEWCOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3319 STATE ROAD 7, STE 108, WELLINGTON, FL 33449-8067
(561) 798-2800
(561) 793-6631
Mailing address
3319 STATE ROAD 7, 108, WELLINGTON, FL 33449-8094
(561) 798-2800
(561) 793-6631
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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