| Pgl Medical Group, Pa | |
|
108 Intracoastal Pointe Dr Suite 100 Jupiter FL 33477-5036 | |
| (561) 575-3050 | |
| (561) 575-3153 |
| Full Name | Pgl Medical Group, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 108 Intracoastal Pointe Dr, Jupiter, Florida |
| Authorized Official Name and Position | Glendese C Miller (VICE PRESIDENT) |
| Authorized Official Contact | 5617977653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pgl Medical Group, Pa 108 Intracoastal Pointe Dr Suite 100 Jupiter FL 33477-5036 Ph: (561) 575-3050 | Pgl Medical Group, Pa 108 Intracoastal Pointe Dr Suite 100 Jupiter FL 33477-5036 Ph: (561) 575-3050 |
| NPI Number | 1518220565 |
|---|---|
| Provider Enumeration Date | 06/24/2012 |
| Last Update Date | 06/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518220565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME104698 (Florida) | Primary |
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