| Jupiter Concierge Family Practice | |
|
2141 S Alternate A1a 200 Jupiter FL 33477-4072 | |
| (561) 743-0005 | |
| (561) 743-7623 |
| Full Name | Jupiter Concierge Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 2141 S Alternate A1a, Jupiter, Florida |
| Authorized Official Name and Position | Karen Barlow (PRESIDENT BILLING COMPANY) |
| Authorized Official Contact | 5617482889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jupiter Concierge Family Practice Po Box 7969 Jupiter FL 33468-7969 Ph: (561) 748-2889 | Jupiter Concierge Family Practice 2141 S Alternate A1a 200 Jupiter FL 33477-4072 Ph: (561) 743-0005 |
| NPI Number | 1265593024 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 12/29/2009 |
| Medicare PECOS PAC ID | 4284676859 |
|---|---|
| Medicare Enrollment ID | O20050524000675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265593024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME076350 (Florida) | Primary |
| Provider Name | David C Rosenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538114590 PECOS PAC ID: 2567419591 Enrollment ID: I20050524000555 |
| Provider Name | Brittany M Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104487206 PECOS PAC ID: 2264829563 Enrollment ID: I20220504001719 |
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