Organization
JUPITER EMERGENCY MEDICAL SPECIALIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MICHAEL COLLINS M.D. (PRESIDENT)
(561) 748-2889
Entity
Organization
Contact information
Practice address
1210 S OLD DIXIE HWY, JUPITER, FL 33458-7205
(561) 748-2889
(561) 748-1523
Mailing address
PO BOX 2699, JUPITER, FL 33468-2699
(561) 748-2889
(561) 748-1523
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
12/17/2009
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