Primary Care Services Of Jupiter Medical Specialists, Llc | |
5430 Military Trl Suite 62 Jupiter FL 33458-2873 | |
(561) 263-4343 | |
Not Available |
Full Name | Primary Care Services Of Jupiter Medical Specialists, Llc |
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Speciality | Family Medicine |
Location | 5430 Military Trl, Jupiter, Florida |
Authorized Official Name and Position | Karen Vaughn (OFFICER) |
Authorized Official Contact | 9732511132 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Services Of Jupiter Medical Specialists, Llc 5565 Centerview Dr Ste 107 Raleigh NC 27606-3563 Ph: () - | Primary Care Services Of Jupiter Medical Specialists, Llc 5430 Military Trl Suite 62 Jupiter FL 33458-2873 Ph: (561) 263-4343 |
NPI Number | 1164809307 |
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Provider Enumeration Date | 04/27/2015 |
Last Update Date | 03/29/2023 |
Medicare PECOS PAC ID | 4183934631 |
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Medicare Enrollment ID | O20151112001461 |
Identifier | Type | State | Issuer |
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1164809307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Laurie P Rothman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093772972 PECOS PAC ID: 9931133071 Enrollment ID: I20050919000922 |
Provider Name | Hillary Clair Morris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790971356 PECOS PAC ID: 6608940770 Enrollment ID: I20080807000296 |
Provider Name | Judith A. Armstrong |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619187879 PECOS PAC ID: 4082766217 Enrollment ID: I20090717000493 |
Provider Name | Bonnie M Murphy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487733861 PECOS PAC ID: 9133301351 Enrollment ID: I20110406000460 |
Provider Name | Stephanie D Devaney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861747149 PECOS PAC ID: 7315190014 Enrollment ID: I20130109000032 |
Provider Name | William A Gustave |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720312739 PECOS PAC ID: 5092997767 Enrollment ID: I20130605000107 |
Provider Name | Cynthia Lambert |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265606610 PECOS PAC ID: 0547330318 Enrollment ID: I20130926000344 |
Provider Name | Raiza M Lopez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265766349 PECOS PAC ID: 2860685674 Enrollment ID: I20150421001208 |
Provider Name | Gary L Bradley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457631350 PECOS PAC ID: 2567770134 Enrollment ID: I20150930002969 |
Provider Name | Marni L Nicholas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174517122 PECOS PAC ID: 9335119213 Enrollment ID: I20151202000492 |
Provider Name | Olivia H Iovino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760857643 PECOS PAC ID: 6204138837 Enrollment ID: I20160113001734 |
Provider Name | Kymberlee A Coffindaffer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073057618 PECOS PAC ID: 8224397997 Enrollment ID: I20180125003089 |
Provider Name | Cynthia S Prokos |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790338663 PECOS PAC ID: 9638502214 Enrollment ID: I20191212002004 |
Provider Name | Skirmante Sirvaitis |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316402696 PECOS PAC ID: 2860874328 Enrollment ID: I20220729002031 |
Provider Name | Irving Joseph Campbell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093482093 PECOS PAC ID: 0840660833 Enrollment ID: I20230109002058 |
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