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General NPI Number Information
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NPI Number | 1730522921
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Entity Type | Organization
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Legal Business Name | JUPITER MEDICAL CENTER PHYSICIANS GROUP
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Dates
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Enumeration Date | 04/08/2013
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 5430 MILITARY TRAIL SUITE 64
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City | JUPITER
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State | FL
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Zip | 33458-2873
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Country | US
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Telephone | 561-263-7010
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Fax | 561-776-3998
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Provider Business Mailing Address
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Address Line | PO BOX 95000-8797
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City | PHILADELPHIA
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State | FL
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Zip | 19195-0001
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Country | US
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Telephone | 561-263-7270
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Fax | 561-263-7260
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE INTEGRITY
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Name | JENNIFER SLIS
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Credential |
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Telephone | 561-263-2839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | HCC10499
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License Number State | FL
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