Doctor Name: | JACK G FAUP |
NPI Number: | 1013013242 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME15851 |
Business Practice Address: | 1515 Park Center Dr Suite 2 I Orlando, FL - 328355794 |
Business Phone Number: | 4072993160 |
Business Fax Number: | 4072992445 |
Mailing Address: | 1515 Park Center Dr, Suite 2 I ORLANDO |
State: | FL |
Postal Code: | 328355794 |
Phone Number: | 4072993160 |
Fax Number: | 4072992445 |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 10/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | ME15851 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |