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JACK FAUP MD PA NPI 1588762132


NPI Information

NPI: 1588762132
Provider Name: JACK FAUP MD PA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1515 PARK CENTER DR
SUITE 2-I
ORLANDO, FL
ZIP 32835
Phone: (407) 299-3160
Get Directions

JACK FAUP MD PA is an obstetrics gynecology in Orlando, FL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. JACK FAUP MD PA NPI is 1588762132. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1515 PARK CENTER DR
SUITE 2-I
ORLANDO, FL
ZIP 32835-794
Phone: (407) 299-3160
Fax: (407) 299-2445

The provider's authorized official is Jack Faup .
The authorized official title is Medical Doctor and has the following contact phone number (407) 299-3160.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 10/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyME15851FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D64211MEDICARE UPINFLORIDA
2AK290MEDICARE PINFLORIDA
3048731700MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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