| Jupiter Internal Medicine Group Llc | |
|
601 University Blvd Suite 204 Jupiter FL 33458-2788 | |
| (561) 747-5066 | |
| (561) 747-5190 |
| Full Name | Jupiter Internal Medicine Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 601 University Blvd, Jupiter, Florida |
| Authorized Official Name and Position | Raj Bansal (PRESIDENT) |
| Authorized Official Contact | 5617475066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jupiter Internal Medicine Group Llc 601 University Blvd Suite 204 Jupiter FL 33458-2788 Ph: (561) 747-5066 | Jupiter Internal Medicine Group Llc 601 University Blvd Suite 204 Jupiter FL 33458-2788 Ph: (561) 747-5066 |
| NPI Number | 1083774723 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 01/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083774723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME49954 (Florida) | Primary |
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