Jack Faup Md Pa

LBN: Jack Faup Md Pa
Jack Faup Md Pa is an health care organization with primary practice located at 1515 Park Center Dr Suite 2-I, Orlando FL 32835-5794. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Jack Faup Md Pa can be contacted via phone (407) 299-3160, or through Faup, Jack via phone (407) 299-3160.

Contact Information

Primary practice address
1515 Park Center Dr Suite 2-I Orlando FL 32835-5794
Phone: (407) 299-3160
Fax: (407) 299-2445
Website:
Map and Directions
Authorized official contact:
Name: Faup, Jack Doctor of Medicine (MD)
Phone: (407) 299-3160

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME15851 Florida

Profile Details

NPI number 1588762132
LBN Legal business name Jack Faup Md Pa
DBA Doing business as
Authorized official Faup, Jack Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Oct 14th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588762132 NPPES
Florida MEDICAID 048731700

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