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Organization

JUPITER PAIN MANAGEMENT CONSULTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NATHANIEL DROURR (PRESIDENT)
(561) 262-5137
Entity
Organization

Contact information

Practice address
2151 S ALTERNATE A1A, SUITE 950, JUPITER, FL 33477-4112
(561) 743-2239
Mailing address
75 RIVER DR, TEQUESTA, FL 33469-1950

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME72880
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047364200
FL
05
253301400
FL
Enumeration date
11/25/2011
Last updated
11/25/2011
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