# JUPITER MEDICAL CENTER PHYSICIANS GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JMC COMMUNITY CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093344376
- **Authorized official:** AMY J BARTON (MANAGER, MANAGED CARE)
- **Authorized official phone:** (561) 263-7411

## Contact information

- **Practice address:** 1002 S OLD DIXIE HWY STE 101, JUPITER, FL 33458-7202
- **Practice address phone:** (561) 852-0038
- **Mailing address:** 1210 S OLD DIXIE HWY, JUPITER, FL 33458-7205
- **Mailing address phone:** (561) 263-7411
- **Mailing address fax:** (561) 263-7413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | — | NULL | Yes |
| 2086S0120X | Pediatric Surgery Physician | — | — | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 04/07/2020
- **Last updated:** 04/07/2020