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Plastic Surgery Of Jupiter, P.a.
Military Health Care Provider in Jupiter, Florida
NPI 1134356991

Plastic Surgery Of Jupiter, P.a. is a Military Health Care Provider based in Jupiter, FL. Plastic Surgery Of Jupiter, P.a. practices in Jupiter, FL. The NPI Number for Plastic Surgery Of Jupiter, P.a. is 1134356991 and holds a License No. ME75895 (Florida).

The current practice location address for Plastic Surgery Of Jupiter, P.a. is 4600 Military Trl, Jupiter, FL and can be reached out via phone at 561-748-1565 and via fax at 561-748-1568.

Location: 4600 Military Trl, Jupiter, FL, 33458-4810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134356991
Provider Name
Plastic Surgery Of Jupiter, P.a.
Credential
Provider Entity Type
Organization
Address
4600 Military Trl, Jupiter, FL, 33458-4810
Phone Number
561-748-1565
Fax Number
561-748-1568
Provider Enumeration Date
06/18/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4600 Military Trl
City
Jupiter
State
Florida
Zip
33458-4810
Phone Number
561-748-1565
Fax Number
561-748-1568
person
Provider Business Mailing Address Details
Address
4600 Military Trl
City
Jupiter
State
Florida
Zip
33458-4810
Phone Number
561-748-1565
Fax Number
561-748-1568
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
ME75895 (Florida)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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