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10D2024600 CLIA NUMBER - JUPITER MEDICAL CENTER PHYSICIANS GROUP, INC

Laboratory Demographics

CLIA Number: 10D2024600

Facility Name: JUPITER MEDICAL CENTER PHYSICIANS GROUP, INC

Facility Address:
1002 SOUTH OLD DIXIE HIGHWAY SUITE 302
JUPITER, FL
ZIP 33458
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Facility Phone Number: 561 233-6288

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1740247188

Taxonomy: 207LP2900X - Anesthesiology
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

CLIA Record

Field Name Field Value
CLIA Number 10D2024600
LAB Type Physician Office
Facility Name JUPITER MEDICAL CENTER PHYSICIANS GROUP, INC
Street 1002 SOUTH OLD DIXIE HIGHWAY SUITE 302
City JUPITER
State FL
ZIP 33458
Phone 561 233-6288
CertificateType 4
CertificateEffectiveDate 5/19/2023
CertificateExpirationDate 5/18/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024