# PRIMARY CARE SERVICES OF JUPITER MEDICAL SPECIALISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538514195
- **Authorized official:** KAREN VAUGHN (OFFICER)
- **Authorized official phone:** (973) 251-1132

## Contact information

- **Practice address:** 1002 S OLD DIXIE HWY, SUITE 206, JUPITER, FL 33458-7202
- **Practice address phone:** (561) 263-5591
- **Mailing address:** 5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2016
- **Last updated:** 03/29/2023