General Surgery Of Jupiter Medical Specialists, LLC
Surgery in Jupiter, FL. Organization (NPI-2).
NPI number1477097095
StatusActive
Last updated in NPPESJul 22, 2021
Details
- NPI
- 1477097095
- Entity type
- Organization (NPI-2)
- Legal business name
- General Surgery Of Jupiter Medical Specialists, LLC
- Organization subpart
- No
- Enumeration date
- Dec 16, 2016
- Certification date
- Jul 22, 2021
- Last updated
- Jul 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Practice location
1002 S Old Dixie Hwy Ste 303Jupiter, FL 33458-7202
Phone 561-741-5695 · Fax 561-741-5697
Mailing address
5565 Centerview Dr Ste 107Raleigh, NC 27606-3563
Authorized official
Kathleen Kondas
Officer
8773281119
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