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Organization
PGL MEDICAL GROUP, PA
Active
Organization
PGL MEDICAL GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENDESE C MILLER M.D. (VICE PRESIDENT)
(561) 797-7653
Entity
Organization
Contact information
Practice address
108 INTRACOASTAL POINTE DR, SUITE 100, JUPITER, FL 33477-5036
(561) 575-3050
(561) 575-3153
Mailing address
108 INTRACOASTAL POINTE DR, SUITE 100, JUPITER, FL 33477-5036
(561) 575-3050
(561) 575-3153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME104698
FL
Other
Enumeration date
06/24/2012
Last updated
06/24/2012
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