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1649454752
JUPITER MEDICAL GROUP P A
JUPITER, FL
NPI
1649454752
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Entity Type
Organization
Authorized Contact
RAJENDRA K. BANSAL
Md
561-746-2411
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2007-12-26
Last Update Date
2007-12-26
Business Address
JUPITER MEDICAL GROUP P A
601 UNIVERSITY BLVD SUITE 204
JUPITER, FL 33458-2788
Phone number: 561-746-2411
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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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