| Jack I Newcomer Md Pa | |
|
3319 State Road 7 Suite 108 Wellington FL 33449-8094 | |
| (561) 798-2800 | |
| (561) 793-6631 |
| Full Name | Jack I Newcomer Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 3319 State Road 7, Wellington, Florida |
| Authorized Official Name and Position | Jack I Newcomer (PHYSICIAN) |
| Authorized Official Contact | 5617982800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack I Newcomer Md Pa 3319 State Road 7 Suite 108 Wellington FL 33449-8094 Ph: (561) 798-2800 | Jack I Newcomer Md Pa 3319 State Road 7 Suite 108 Wellington FL 33449-8094 Ph: (561) 798-2800 |
| NPI Number | 1871743062 |
|---|---|
| Provider Enumeration Date | 09/24/2008 |
| Last Update Date | 04/07/2014 |
| Medicare PECOS PAC ID | 4688742919 |
|---|---|
| Medicare Enrollment ID | O20081014000135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871743062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | ME0048252 (Florida) | Primary |
| Provider Name | Jack I Newcomer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750498259 PECOS PAC ID: 6901863075 Enrollment ID: I20041210000497 |
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