Organization
PLASTIC SURGERY OF JUPITER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM EDWARD KOGER M.D. (MEDICAL DIRECTOR)
(561) 748-1565
Entity
Organization
Contact information
Practice address
4600 MILITARY TRL, SUITE 202, JUPITER, FL 33458-4810
(561) 748-1565
(561) 748-1568
Mailing address
4600 MILITARY TRL, SUITE 202, JUPITER, FL 33458-4810
(561) 748-1565
(561) 748-1568
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
ME75895
FL
Other
Enumeration date
06/18/2009
Last updated
07/09/2009
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