General Surgery Of Jupiter Medical Specialists, LLC
Surgery in Jupiter, FL. Organization (NPI-2).
NPI number1538833744
StatusActive
Last updated in NPPESAug 3, 2021
Details
- NPI
- 1538833744
- Entity type
- Organization (NPI-2)
- Legal business name
- General Surgery Of Jupiter Medical Specialists, LLC
- Organization subpart
- No
- Enumeration date
- Aug 3, 2021
- Certification date
- Jul 22, 2021
- Last updated
- Aug 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Practice location
2055 Military Trl Ste 100Jupiter, FL 33458-7830
Phone 877-328-1119
Mailing address
5565 Centerview Dr Ste 107Raleigh, NC 27606-3563
Authorized official
Kathy Kondas
Officer
8773281119
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