Jupiter Internal Medicine Associates P A | |
600 University Blvd Ste 105 Jupiter FL 33458-2778 | |
(561) 748-1888 | |
Not Available |
Full Name | Jupiter Internal Medicine Associates P A |
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Speciality | Internal Medicine |
Location | 600 University Blvd Ste 105, Jupiter, Florida |
Authorized Official Name and Position | Daniel L Boss (PRESIDENT) |
Authorized Official Contact | 5617481888 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jupiter Internal Medicine Associates P A 600 University Blvd Ste 105 Jupiter FL 33458-2778 Ph: (561) 748-1888 | Jupiter Internal Medicine Associates P A 600 University Blvd Ste 105 Jupiter FL 33458-2778 Ph: (561) 748-1888 |
NPI Number | 1659665156 |
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Provider Enumeration Date | 06/02/2011 |
Last Update Date | 02/24/2021 |
Medicare PECOS PAC ID | 4981878519 |
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Medicare Enrollment ID | O20111117000255 |
Identifier | Type | State | Issuer |
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1659665156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | ME81918 (Florida) | Primary |
Provider Name | Daniel L Boss |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417959123 PECOS PAC ID: 4082807409 Enrollment ID: I20101019000041 |
Provider Name | Katherine Jane Hnis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174823520 PECOS PAC ID: 9234378431 Enrollment ID: I20130619000563 |
Provider Name | Lia A Demeter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114179363 PECOS PAC ID: 6901048669 Enrollment ID: I20130808000271 |
Provider Name | Tatyana Aliyeva |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992191407 PECOS PAC ID: 7810234614 Enrollment ID: I20190201001674 |
Provider Name | Samantha Elsbree |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992348841 PECOS PAC ID: 6507291762 Enrollment ID: I20200115002764 |
Provider Name | Victoria Lyndsey Canarelli |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669825238 PECOS PAC ID: 5991198186 Enrollment ID: I20220211000082 |
Provider Name | Daniel Frank Bonadeo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932860830 PECOS PAC ID: 6709234644 Enrollment ID: I20231202000377 |
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