MEDICARE: TOWN OF JUPITER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1417808841
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF JUPITER

Provider Business Mailing Address
First Line	:	210 MILITARY TRL
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-5786
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 MILITARY TRL
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-5786
Country	:	US
Telephone Number	:	561-741-2481
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	MR. TIMOTHY ROCHE
Credential	:
Telephone Number	:	561-741-2481

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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Directions to “TOWN OF JUPITER ” Practice Location

Language	Start Address	Practice Location

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