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Organization

GENERAL SURGERY OF JUPITER MEDICAL SPECIALISTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(877) 328-1119
Entity
Organization

Contact information

Practice address
210 JUPITER LAKES BLVD, BLDG 3000, #203, JUPITER, FL 33458-7191
(561) 741-5570
Mailing address
5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
09/13/2013
Last updated
07/22/2021
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