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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)
(954) 838-2371
Entity
Organization
Contact information
Practice address
1004 S OLD DIXIE HWY, SUITE 201, JUPITER, FL 33458-7200
(561) 972-6722
Mailing address
PO BOX 744078, DEPT 70003, ATLANTA, GA 30384-4078
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/12/2017
Last updated
09/19/2019
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