Organization Name: | JUPITER MEDICAL CENTER PHYSICIANS GROUP |
NPI Number: | 1013314285 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDY MAGALHAES (EXECUTIVE DIRECTOR) |
Mailing Address: | 1335 W Indiantown Rd Jupiter |
State: | FL US |
Postal Code: | 334584631 |
Phone Number: | 5612637025 |
Fax Number: | 5617448215 |
NPI Enumeration Date: | 12/03/2014 |
NPI Last Update Date: | 12/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | 201578800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |