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675 W Indiantown Rd Suite 100 Jupiter FL 33458-7548 | |
(561) 935-1090 | |
(561) 935-1080 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 675 W Indiantown Rd, Jupiter, Florida |
Authorized Official Name and Position | Bruce Hal Berman (PRESIDENT) |
Authorized Official Contact | 5619351090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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675 W Indiantown Rd Suite 100 Jupiter FL 33458-7548 Ph: (561) 935-1090 | 675 W Indiantown Rd Suite 100 Jupiter FL 33458-7548 Ph: (561) 935-1090 |
NPI Number | 1003849258 |
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Provider Enumeration Date | 07/09/2006 |
Last Update Date | 01/12/2012 |
Identifier | Type | State | Issuer |
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1003849258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | ME 0057993 (Florida) | Primary |
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