Jupiter Family Healthcare,pa | |
4600 Military Trl #115 Jupiter FL 33458-4810 | |
(561) 776-5252 | |
(561) 776-5255 |
Full Name | Jupiter Family Healthcare,pa |
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Speciality | Family Medicine |
Location | 4600 Military Trl, Jupiter, Florida |
Authorized Official Name and Position | Richard Anthony Delucia (CEO) |
Authorized Official Contact | 5617765252 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jupiter Family Healthcare,pa 4600 Military Trl #115 Jupiter FL 33458-4810 Ph: (561) 776-5252 | Jupiter Family Healthcare,pa 4600 Military Trl #115 Jupiter FL 33458-4810 Ph: (561) 776-5252 |
NPI Number | 1366503203 |
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Provider Enumeration Date | 12/13/2006 |
Last Update Date | 11/19/2018 |
Medicare PECOS PAC ID | 4587611793 |
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Medicare Enrollment ID | O20050331000145 |
Identifier | Type | State | Issuer |
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1366503203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME0076350 (Florida) | Primary |
Provider Name | Richard A Delucia |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003835604 PECOS PAC ID: 6204883416 Enrollment ID: I20050401000523 |
Provider Name | Dana L Bilnoski |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407845613 PECOS PAC ID: 9234185828 Enrollment ID: I20080702000223 |
Provider Name | Crystal N Donato |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295064418 PECOS PAC ID: 0042355356 Enrollment ID: I20100310000800 |
Provider Name | Emely P Arrieta |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528462454 PECOS PAC ID: 6800017047 Enrollment ID: I20141031001247 |
Provider Name | Amanda Lynn Cording |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417335456 PECOS PAC ID: 8325337355 Enrollment ID: I20160516000490 |
Provider Name | Robert S Hall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922506583 PECOS PAC ID: 9537410808 Enrollment ID: I20180925004261 |
Provider Name | Kimala Aleisha Harris |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386137677 PECOS PAC ID: 0840534319 Enrollment ID: I20181211000291 |
Provider Name | Brandi M Bivens |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669901401 PECOS PAC ID: 9335480151 Enrollment ID: I20190404001258 |
Provider Name | Anthony Ruffa |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134128341 PECOS PAC ID: 6709894397 Enrollment ID: I20210603000021 |
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