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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
KATHLEEN KONDAS (OFFICER)
(877) 328-1119
Entity
Organization
Contact information
Practice address
169 TEQUESTA DR, SUITE 12E, TEQUESTA, FL 33469-2768
(561) 263-4477
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
04/27/2015
Last updated
07/15/2021
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