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Organization

JOG PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID WARD FELD M.D. (PRESIDENT)
(561) 747-3777
Entity
Organization

Contact information

Practice address
210 JUPITER LAKES BLVD STE 4101, JUPITER, FL 33458-7190
(561) 747-3777
(561) 746-4720
Mailing address
210 JUPITER LAKES BLVD STE 4101, JUPITER, FL 33458-7190
(561) 747-3777
(561) 746-4720

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME32414
FL

Other

Enumeration date
10/26/2012
Last updated
10/26/2012
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