Provider Demographics
NPI:1740412006
Name:JUPITER MEDICAL CONSULTANTS PA
Entity Type:Organization
Organization Name:JUPITER MEDICAL CONSULTANTS PA
Other - Org Name:ALL URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAMLESH
Authorized Official - Middle Name:R
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-305-6903
Mailing Address - Street 1:PO BOX 561140
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32956-1140
Mailing Address - Country:US
Mailing Address - Phone:321-305-6903
Mailing Address - Fax:321-305-6304
Practice Address - Street 1:1680 FISKE BLVD
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-2535
Practice Address - Country:US
Practice Address - Phone:321-305-6903
Practice Address - Fax:321-305-6904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-19
Last Update Date:2009-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty