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NPI Code Detail

MEDICARE: JUPITER MEDICAL CENTER PHYSICIANS GROUP

MEDICARE: JUPITER MEDICAL CENTER PHYSICIANS GROUP
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
1261QU0200XUrgent Care Clinic/CenterHCC10499FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BD344OTHERFLMEDICARE PTAN

General Provider Information

NPI Number : 1730522921
Entity Type Code : Organization
Provider Name (Legal Business Name) : JUPITER MEDICAL CENTER PHYSICIANS GROUP
Provider Business Mailing Address
First Line : PO BOX 95000-8797
Second Line :
City : PHILADELPHIA
State : FL
Zip : 19195-0001
Country : US
Telephone Number : 561-263-7270
Fax Number : 561-263-7260
Provider Business Practice Location Address
First Line : 5430 MILITARY TRAIL
Second Line : SUITE 64
City : JUPITER
State : FL
Zip : 33458-2873
Country : US
Telephone Number : 561-263-7010
Fax Number : 561-776-3998
Authorized Official
Title or Position : DIRECTOR OF REVENUE INTEGRITY
Name : JENNIFER SLIS
Credential :
Telephone Number : 561-263-2839
Provider Enumeration Date : 04/08/2013
Last Update Date : 05/23/2024

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Practice Location Address:
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JUPITER, FL
33458-2873
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Practice Fax:
1528132032 — DR. HOWARD BARUCH SCHWARTZ M.D.
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1720329485 — BRADLEY J WALLRATH PA
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JUPITER, FL
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Practice Fax:
1215363023 — SOFIA NOOHANI KOHN PA-C
Practice Location Address:
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JUPITER, FL
33458-2873
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Practice Fax: 561-776-3998
1164809307 — PRIMARY CARE SERVICES OF JUPITER MEDICAL SPECIALISTS, LLC
Practice Location Address:
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Practice Fax:
1154805877 — KATHLEEN L DAVIS NP
Practice Location Address:
5430 MILITARY TRAIL , STE 64
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Directions to “JUPITER MEDICAL CENTER PHYSICIANS GROUP ” Practice Location

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