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Anesthesiology Of Jupiter PA

Anesthesiology in Palm Beach Gardens, FL. Organization (NPI-2).

NPI number1245906809
StatusActive
Last updated in NPPESSep 29, 2023

Details

NPI
1245906809
Entity type
Organization (NPI-2)
Legal business name
Anesthesiology Of Jupiter PA
Organization subpart
No
Enumeration date
Aug 23, 2021
Certification date
Sep 29, 2023
Last updated
Sep 29, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology––Yes

Practice location

900 Village Square Xing Ste 100
Palm Beach Gardens, FL 33410-4547

Phone 877-328-1119

Mailing address

Po Box 744069
Atlanta, GA 30374-4069

Authorized official

Karen Vaughn
Officer
4044504684

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