JUPITER LAKES PHYSICIAN GROUP PA

JUPITER, FL
NPI1154969699
Entity TypeOrganization
Authorized ContactMICHELLE FULLER
Administrator
561-398-3661
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2019-12-16
Last Update Date2019-12-16
Business Address
JUPITER LAKES PHYSICIAN GROUP PA
210 JUPITER LAKES BLVD STE 4104
JUPITER, FL 33458-7190
Phone number: 561-744-3467
Mailing Address
JUPITER LAKES PHYSICIAN GROUP PA
210 JUPITER LAKES BLVD STE 4104
JUPITER, FL 33458-7190
Phone number: 561-744-3467
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