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1013013242
JACK G FAUP
ORLANDO, FL
NPI
1013013242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: FL ME15851)
Enumeration Date
2006-09-15
Last Update Date
2024-12-22
Business Address
-- JACK G FAUP M.D.
1515 PARK CENTER DR SUITE 2 I
ORLANDO, FL 32835-5794
Phone number: 407-299-3160
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Mailing Address
-- JACK G FAUP M.D.
1515 PARK CENTER DR SUITE 2 I
ORLANDO, FL 32835-5794
Phone number: 407-299-3160
Copy
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