| Jupiter Island Medical Clinic Inc | |
|
100 Estrada Sq Hobe Sound FL 33455-2400 | |
| (772) 546-3751 | |
| (772) 545-0999 |
| Full Name | Jupiter Island Medical Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Estrada Sq, Hobe Sound, Florida |
| Authorized Official Name and Position | Cheryl Jean Roberts (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7725463751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jupiter Island Medical Clinic Inc 100 Estrada Sq Hobe Sound FL 33455-2400 Ph: (772) 546-3751 | Jupiter Island Medical Clinic Inc 100 Estrada Sq Hobe Sound FL 33455-2400 Ph: (772) 546-3751 |
| NPI Number | 1235603747 |
|---|---|
| Provider Enumeration Date | 01/17/2019 |
| Last Update Date | 01/17/2019 |
| Medicare PECOS PAC ID | 5193051464 |
|---|---|
| Medicare Enrollment ID | O20190724001550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235603747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Cheryl J Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013188903 PECOS PAC ID: 6800880535 Enrollment ID: I20040415000075 |
| Provider Name | Jennifer L Deason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720016157 PECOS PAC ID: 3577520816 Enrollment ID: I20041217000551 |
| Provider Name | Zoya Vernikova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679664171 PECOS PAC ID: 1850350695 Enrollment ID: I20231010000771 |
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