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Organization
JUPITER WEST MEDICAL CENTER, INC
Active
Organization
JUPITER WEST MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE OSWALD RN (CREDENTIALING SPECIALIST)
(561) 236-3741
Entity
Organization
Contact information
Practice address
10377 S US HIGHWAY 1 STE 101, PORT ST LUCIE, FL 34952-5630
(772) 337-1300
(800) 783-5176
Mailing address
2632 W INDIANTOWN RD, JUPITER, FL 33458-5889
(561) 744-7373
(800) 783-5176
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000647406
—
FL
Enumeration date
12/23/2021
Last updated
08/18/2022
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