Provider Demographics
NPI:1376695957
Name:JEFFREY L PRESSER MD PA
Entity Type:Organization
Organization Name:JEFFREY L PRESSER MD PA
Other - Org Name:JUNO FAMILY PRACTICE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:L
Authorized Official - Last Name:PRESSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD PA
Authorized Official - Phone:561-691-0100
Mailing Address - Street 1:3385 BURNS RD STE 106
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4328
Mailing Address - Country:US
Mailing Address - Phone:561-691-0100
Mailing Address - Fax:877-265-1135
Practice Address - Street 1:3385 BURNS RD STE 106
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4328
Practice Address - Country:US
Practice Address - Phone:561-691-0100
Practice Address - Fax:877-265-1135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0062018208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14888OtherBCBS
FL14888Medicare ID - Type Unspecified
FL14888OtherBCBS