Organization
NOVA -PB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONN MCCLELLAN (OWNER)
(561) 270-1897
Entity
Organization
Contact information
Practice address
3535 MILITARY TRL STE 200, JUPITER, FL 33458-5009
(561) 270-1897
Mailing address
3535 MILITARY TRL STE 200, JUPITER, FL 33458-5009
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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