| Concierge Medicine Of Jupiter Inc. | |
|
2151 South Alt A1a Suite 950 Jupiter FL 33477-4064 | |
| (561) 743-2239 | |
| (561) 768-9700 |
| Full Name | Concierge Medicine Of Jupiter Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2151 South Alt A1a Suite 950, Jupiter, Florida |
| Authorized Official Name and Position | Catherine G Drourr (OWNER) |
| Authorized Official Contact | 5617432239 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concierge Medicine Of Jupiter Inc. 2151 South Alt A1a Suite 950 Jupiter FL 33477-4064 Ph: (561) 743-2239 | Concierge Medicine Of Jupiter Inc. 2151 South Alt A1a Suite 950 Jupiter FL 33477-4064 Ph: (561) 743-2239 |
| NPI Number | 1912281130 |
|---|---|
| Provider Enumeration Date | 10/06/2011 |
| Last Update Date | 08/09/2021 |
| Medicare PECOS PAC ID | 6800068966 |
|---|---|
| Medicare Enrollment ID | O20111013000523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912281130 | NPI | - | NPPES |
| 42634A | Other | FL | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME72879 (Florida) | Primary |
| Provider Name | Catherine Drourr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104828078 PECOS PAC ID: 2961451398 Enrollment ID: I20050112001028 |
| Provider Name | Yana Shtern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497940852 PECOS PAC ID: 3971763731 Enrollment ID: I20200317000045 |
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