MEDICARE: JUPITER MEDICAL CENTER PAVILION INC

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	314000000X	Skilled Nursing Facility	SNF1263096	FL

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	:	1942296736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUPITER MEDICAL CENTER PAVILION INC

Provider Business Mailing Address
First Line	:	1230 S OLD DIXIE HWY
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-7205
Country	:	US
Telephone Number	:	561-744-4444
Fax Number	:	561-745-5730

Provider Business Practice Location Address
First Line	:	1230 S OLD DIXIE HWY
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-7205
Country	:	US
Telephone Number	:	561-744-4444
Fax Number	:	561-745-5730

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. BETSY HEARTFIELD
Credential	:
Telephone Number	:	561-744-4444

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1063784999 — SHERRI SNELL CRNA
Practice Location Address:

1210 S OLD DIXIE HWY
JUPITER, FL
33458-7205

Practice Phone: 954-838-2588
Practice Fax: 954-514-3979

1811726607 — AMANDA RAMOS FNP-BC
Practice Location Address:

1210 S OLD DIXIE HWY
JUPITER, FL
33458-7205

Practice Phone: 561-263-2234
Practice Fax:

1164861977 — DR. DENISE VILCHEZ CARDENAL MD
Practice Location Address:

1210 S OLD DIXIE HWY
JUPITER, FL
33458-7205

Practice Phone: 561-263-2234
Practice Fax:

1962406835 — JACKSON MAINA NGANGA M.D.
Practice Location Address:

1210 S OLD DIXIE HWY
JUPITER, FL
33458-7205

Practice Phone: 561-263-2234
Practice Fax:

1295734960 — DR. KENNETH ADAM LEE MD
Practice Location Address:

1240 S OLD DIXIE HWY
JUPITER, FL
33458-7205

Practice Phone: 561-263-4400
Practice Fax:

1114918117 — DR. CHRISTOPHER CHARLES MUENCHEN MD
Practice Location Address:

1210 S OLD DIXIE HWY , JUPITER MEDICAL CTR - EMERGENY DEPT
JUPITER, FL
33458-7205

Practice Phone: 561-744-4469
Practice Fax:

Directions to “JUPITER MEDICAL CENTER PAVILION INC ” 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.