| Jupiter Medical Group P A | |
|
19 Se Osceola St Stuart FL 34994-2125 | |
| (772) 283-4093 | |
| (772) 283-9874 |
| Full Name | Jupiter Medical Group P A |
|---|---|
| Speciality | Internal Medicine |
| Location | 19 Se Osceola St, Stuart, Florida |
| Authorized Official Name and Position | Rajendra K. Bansal (OWNER) |
| Authorized Official Contact | 5617462411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jupiter Medical Group P A 875 Military Trl Suite 200 Jupiter FL 33458-5700 Ph: (561) 746-2411 | Jupiter Medical Group P A 19 Se Osceola St Stuart FL 34994-2125 Ph: (772) 283-4093 |
| NPI Number | 1235313917 |
|---|---|
| Provider Enumeration Date | 12/18/2007 |
| Last Update Date | 12/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235313917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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