Organization
JACK I NEWCOMER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK I NEWCOMER MD (PHYSICIAN)
(561) 798-2800
Entity
Organization
Contact information
Practice address
3319 STATE ROAD 7, SUITE 108, WELLINGTON, FL 33449-8094
(561) 798-2800
(561) 793-6631
Mailing address
3319 STATE ROAD 7, SUITE 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
09/24/2008
Last updated
04/07/2014
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