| NPI | 1831779834 |
|---|---|
| Former Legal Business Name | JUPITER LASER AND REGENERATIVE MEDICINE LLC |
| Entity Type | Organization |
| Authorized Contact | ORLANDO CEDENO Owner 561-624-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-26 |