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Organization
JUPITER HEALTHCARE
Active
Organization
JUPITER HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH TODD BOUDREAU D.C. (MANAGING PARTNER)
(561) 741-7575
Entity
Organization
Contact information
Practice address
125 W INDIANTOWN RD, SUITE 105, JUPITER, FL 33458-3539
(561) 741-7575
(561) 741-7155
Mailing address
125 W INDIANTOWN RD, SUITE 105, JUPITER, FL 33458-3539
(561) 741-7575
(561) 741-7155
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74811
BCBS GROUP #
FL
Enumeration date
12/28/2006
Last updated
08/07/2007
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