Organization
JUPITER CANCER INSTITUTE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE WELLS (OFFICE MANAGER)
(561) 748-2488
Entity
Organization
Contact information
Practice address
431 UNIVERSITY BLVD, JUPITER, FL 33458-3103
(561) 748-2488
(561) 748-2468
Mailing address
431 UNIVERSITY BLVD, JUPITER, FL 33458-3103
(561) 748-2488
(561) 748-2468
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039739300
—
FL
Enumeration date
09/07/2010
Last updated
09/07/2010
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