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1235313917
JUPITER MEDICAL GROUP P A
STUART, FL
NPI
1235313917
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Entity Type
Organization
Authorized Contact
RAJENDRA K. BANSAL
Owner
561-746-2411
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2007-12-18
Last Update Date
2007-12-26
Business Address
JUPITER MEDICAL GROUP P A
19 SE OSCEOLA ST
STUART, FL 34994-2125
Phone number: 772-283-4093
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Mailing Address
JUPITER MEDICAL GROUP P A
875 MILITARY TRL SUITE 200
JUPITER, FL 33458-5700
Phone number: 561-746-2411
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