Organization
JUPITER PATHOLOGY CONSULTANTS PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL D. GAREN MD (MANAGING MEMBER)
(561) 744-4487
Entity
Organization
Contact information
Practice address
1210 S OLD DIXIE HWY, JUPITER, FL 33458-7205
(561) 744-4487
(561) 743-5028
Mailing address
2801 EXCHANGE CT, WEST PALM BEACH, FL 33409-4019
(561) 684-9566
(561) 687-3528
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
800001079
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
800001079
FL
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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