Individual
JAIDEEP PURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 GREENWICH CIR, SUITE 110, JUPITER, FL 33458-2890
(561) 694-1021
(561) 694-1908
Mailing address
221 GREENWICH CIR, SUITE 110, JUPITER, FL 33458-2890
(561) 694-1021
(561) 694-1908
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME104591
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64043672
—
KY
Enumeration date
05/06/2006
Last updated
11/30/2016
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