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Organization
PLASTIC SURGERY OF JUPITER, P.A.
Active
Organization
PLASTIC SURGERY OF JUPITER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM EDWARD KOGER M.D. (MEDICAL DIRECTOR)
(561) 748-1565
Entity
Organization
Contact information
Practice address
4600 MILITARY TRL, SUITE 202, JUPITER, FL 33458-4810
(561) 748-1565
(561) 748-1568
Mailing address
4600 MILITARY TRL, SUITE 202, JUPITER, FL 33458-4810
(561) 748-1565
(561) 748-1568
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
ME75895
FL
Other
Enumeration date
06/18/2009
Last updated
07/09/2009
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