DR. JACK MARSHALL TRAINOR (NPI# 1033155171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033155171 |
| Entity Type | Individual |
| Full Name | DR. JACK MARSHALL TRAINOR |
| Credential | M.D. |
| Practice Address |
4701 N Federal Hwy Suite A-39 Ft Lauderdale FL 33308-4608 |
| Mailing Address |
2829 Ne 33rd Ct #405 Ft Lauderdale FL 33306-2028 |
| Practice Telephone | 9547718177 |
| Practice Fax Number | 9547713629 |
| Mailing Telephone | 9545645725 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
ME77382 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE | ME77382 | 01 |
| Street Address |
4701 N FEDERAL HWY SUITE A-39 |
| City | FT LAUDERDALE |
| State | FL |
| Zip Code | 33308-4608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831191568 | Rachel Corey Bernstein | Obstetrics & Gynecology | 4701 N Federal Hwy, Building B, Ft Lauderdale, FL 33308-4608 | 2005-08-12 |
| 1962513234 | Rajiv R Chokshi | Internal Medicine | 4701 N Federal Hwy, Suite A-21, Ft Lauderdale, FL 33308-4608 | 2006-08-31 |
| 1467569244 | Patricia Calvo | Obstetrics & Gynecology | 4701 N Federal Hwy, Bldg. B, Ft Lauderdale, FL 33308-4608 | 2006-08-25 |
| 1669589362 | Paul I Meli IIi | Orthopaedic Surgery | 4701 N Federal Hwy, #a-39, Ft Lauderdale, FL 33308 | 2006-08-25 |
| 1033226881 | Ghea Adeboyejo | Obstetrics & Gynecology | 4701 N Federal Hwy, Bldg B, Ft Lauderdale, FL 33308-4608 | 2006-08-25 |
| 1659487536 | Monique Lenore Manganelli | Internal Medicine | 4701 N Federal Hwy, Suite A-27, Ft Lauderdale, FL 33308-4608 | 2006-08-22 |
| 1780799940 | Edward B Biederman | Internal Medicine | 4701 N Federal Hwy, Suite A-27, Ft Lauderdale, FL 33308-4608 | 2006-08-20 |
| 1609802008 | Anthony J Salvador | Physician Assistant | 4701 N Federal Hwy, Suite A-39, Ft Lauderdale, FL 33308-4608 | 2006-06-25 |
| 1831153022 | Litzenblatt Peicher & Lopez | Internal Medicine | 4701 N Federal Hwy, Suite A-10, Ft Lauderdale, FL 33308-4608 | 2006-04-14 |
| 1437113834 | Arturo Lopez | Internal Medicine | 4701 N Federal Hwy, Suite A-10, Ft Lauderdale, FL 33308-4608 | 2006-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
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| 1609391929 | Baptist Physician Group LLC | Family Medicine | 8880 Navarre Pkwy Ste 206, Navarre, FL 32566-3614 | 2017-08-08 |
| 1568997880 | Sports Medicine and Rehab Fitness | Family Medicine | 4405 Crooked Mile Rd, Merritt Island, FL 32952-6310 | 2017-04-24 |
| 1770037822 | Daniel Gonzalez | Family Medicine | 11050 Griffin Rd, Davie, FL 33328-3226 | 2016-08-06 |
| 1497174478 | John Sami Maarouf | Family Medicine | 301 Harbour Place Dr Unit 2007, Tampa, FL 33602-6808 | 2014-04-07 |
| 1487091393 | Michelle Henne | Family Medicine | 5535 Cypress Gardens Blvd Ste 270, Winter Haven, FL 33884-2241 | 2013-05-31 |
| 1053678151 | Jonathan Paul Bonnet | Family Medicine | 4830 Nw 43rd St, M194, Gainesville, FL 32606-4401 | 2012-04-13 |
| 1891092862 | Ozaki, Inc. | Family Medicine | 1600 S Ocean Dr Apt 17d, Hollywood, FL 33019-2427 | 2011-02-28 |
| 1174839161 | John Broussard | Family Medicine | 111 2nd Ave Ne Ste 1401, St Petersburg, FL 33701-3480 | 2010-08-27 |
| Find all providers with the same taxonomy | ||||
| City | FT LAUDERDALE |
| Zip Code | 33308 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.