| Neurology Specialists Of Jupiter Pa | |
|
601 University Blvd. Suite 102 101 Jupiter FL 33458-7801 | |
| (561) 627-3381 | |
| (561) 627-3384 |
| Full Name | Neurology Specialists Of Jupiter Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 601 University Blvd., Jupiter, Florida |
| Authorized Official Name and Position | James Mark Stafford (OWNER) |
| Authorized Official Contact | 5616273381 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Specialists Of Jupiter Pa 601 University Blvd Suite 102 101 Jupiter FL 33458-7816 Ph: (561) 627-3381 | Neurology Specialists Of Jupiter Pa 601 University Blvd. Suite 102 101 Jupiter FL 33458-7801 Ph: (561) 627-3381 |
| NPI Number | 1659410918 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 01/06/2015 |
| Medicare PECOS PAC ID | 4385743046 |
|---|---|
| Medicare Enrollment ID | O20070620000537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659410918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | James M Stafford |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457389058 PECOS PAC ID: 3274632989 Enrollment ID: I20101022000564 |
| Provider Name | Nikola Jovanovic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417332438 PECOS PAC ID: 1557657699 Enrollment ID: I20200430002524 |
| Provider Name | Donald C Barr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215348313 PECOS PAC ID: 6800175332 Enrollment ID: I20200821001583 |
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