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Organization
PRIMARY CARE SERVICES OF JUPITER MEDICAL SPECIALISTS, LLC
Active
Organization
PRIMARY CARE SERVICES OF JUPITER MEDICAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
136 JUPITER LAKES BLVD, JUPITER, FL 33458-7180
(561) 746-3030
Mailing address
5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/11/2017
Last updated
03/29/2023
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