Provider Demographics
NPI:1386196707
Name:JUPITER MEDICAL CENTER PHYSICIANS GROUP
Entity Type:Organization
Organization Name:JUPITER MEDICAL CENTER PHYSICIANS GROUP
Other - Org Name:JUPITER MEDICAL CENTER URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGALHAES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-263-4954
Mailing Address - Street 1:PO BOX 9218
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33468-9218
Mailing Address - Country:US
Mailing Address - Phone:561-263-2234
Mailing Address - Fax:561-263-7260
Practice Address - Street 1:3250 PGA BLVD
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-2850
Practice Address - Country:US
Practice Address - Phone:561-263-7010
Practice Address - Fax:561-744-8215
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JUPITER MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-02
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care