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Organization
JUPITER PRIMARY CARE GROUP INC
Active
Organization
JUPITER PRIMARY CARE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE FATIMA FULLER (OFFICE MANAGER)
(561) 629-2990
Entity
Organization
Contact information
Practice address
210 JUPITER LAKES BLVD, BUILDING 4000 SUITE 105, JUPITER, FL 33458-7191
(561) 743-9077
(561) 745-6529
Mailing address
210 JUPITER LAKES BLVD, BUILDING 4000 SUITE 105, JUPITER, FL 33458-7191
(561) 743-9077
(561) 745-6529
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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