MEDICARE: PRIMARY CARE SERVICES OF JUPITER MEDICAL SPECIALISTS, LLC

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	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851777460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMARY CARE SERVICES OF JUPITER MEDICAL SPECIALISTS, LLC

Provider Business Mailing Address
First Line	:	5565 CENTERVIEW DR STE 107
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27606-3563
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1080 E INDIANTOWN RD
Second Line	:	SUITE 206
City	:	JUPITER
State	:	FL
Zip	:	33477-5100
Country	:	US
Telephone Number	:	561-972-6720
Fax Number	:

Authorized Official
Title or Position	:	OFFICER
Name	:	KATHLEEN KONDAS
Credential	:
Telephone Number	:	877-328-1119

Provider Enumeration Date	:	08/05/2015
Last Update Date	:	07/15/2021

Similar Medicare Providers

1174517122 — MRS. MARNI L NICHOLAS MD
Practice Location Address:

1080 E INDIANTOWN RD , SUITE 206
JUPITER, FL
33477-5100

Practice Phone: 561-741-5566
Practice Fax: 561-295-5237

1417932310 — AT HOME HEALTHCARE OF FT. PIERCE INC.
Practice Location Address:

1080 E INDIANTOWN RD , SUITE 205
JUPITER, FL
33477-5100

Practice Phone: 772-770-1100
Practice Fax: 772-770-9164

1104913375 — MRS. JUDITH S ROTHENBERG MSW, LCSW
Practice Location Address:

1080 E INDIANTOWN RD , SUITE. 104A
JUPITER, FL
33477-5100

Practice Phone: 772-284-4147
Practice Fax: 772-545-3494

1184922692 — MEDYTOX MEDICAL MANAGEMENT SOLUTIONS, INC
Practice Location Address:

1080 E INDIANTOWN RD , SUITE 100
JUPITER, FL
33477-5100

Practice Phone: 561-746-6868
Practice Fax: 561-746-6844

1700172186 — MEDYTOX MEDICAL MANAGEMENT SOLUTIONS CORP
Practice Location Address:

1080 E INDIANTOWN RD , SUITE 100
JUPITER, FL
33477-5100

Practice Phone: 561-746-0623
Practice Fax: 561-746-6844

1740541838 — SYSTEMATIC BUSINESS SOLUTIONS
Practice Location Address:

1080 E INDIANTOWN RD , SUITE 101
JUPITER, FL
33477-5100

Practice Phone: 321-720-3996
Practice Fax: 186-695-9675

Directions to “PRIMARY CARE SERVICES OF JUPITER MEDICAL SPECIALISTS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.