Dr. Jack Marshall Trainor
Family Doctor - Sports Medicine
4701 N Federal Hwy Suite A-39
Ft Lauderdale
, Florida 33308-4608
Dr. Jack Marshall Trainor
Family Doctor - Sports Medicine
4701 N Federal Hwy Suite A-39
Ft Lauderdale
, Florida 33308-4608
(954) 564-5725
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Jack Marshall Trainor
- 2829 Ne 33rd Ct #405
- Ft Lauderdale, FL
- Zip : 33306-2028
- Phone : (954) 564-5725
Second Address
- Dr. Jack Marshall Trainor
- 4701 N Federal Hwy Suite A-39
- Ft Lauderdale, FL
- Zip : 33308-4608
- Fax : (954) 771-3629
- Phone : (954) 771-8177
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | ME77382 | FL |
National Provider Identifier
| NPI | 1033155171 |
|---|---|
| Provider Name | Dr. Jack Marshall Trainor |
| First Address | Ft Lauderdale, FL 33306-2028 |
| Second Address | Ft Lauderdale, FL 33308-4608 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H40321 | (02) | FL |
| ME77382 | MEDICAL LICENSE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.