Jack G Faup
Obstetrician & Gynecologist
1515 Park Center Dr Suite 2 I
Orlando
, Florida 32835-5794
Jack G Faup
Obstetrician & Gynecologist
1515 Park Center Dr Suite 2 I
Orlando
, Florida 32835-5794
(407) 299-2445
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Jack G Faup
- 1515 Park Center Dr Suite 2 I
- Orlando, FL
- Zip : 32835-5794
- Fax : (407) 299-2445
- Phone : (407) 299-3160
Second Address
- Jack G Faup
- 1515 Park Center Dr Suite 2 I
- Orlando, FL
- Zip : 32835-5794
- Fax : (407) 299-2445
- Phone : (407) 299-3160
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | ME15851 | FL |
National Provider Identifier
| NPI | 1013013242 |
|---|---|
| Provider Name | Jack G Faup |
| First Address | Orlando, FL 32835-5794 |
| Second Address | Orlando, FL 32835-5794 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/09/2006 |
| Last Update Date | 14/10/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 048731700 | (05) | FL |
| D64211 | (02) | 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.