PLASTIC SURGERY OF JUPITER, P.A. is a military health care provider in Jupiter, FL. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. PLASTIC SURGERY OF JUPITER, P.A. NPI is 1134356991. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
4600 MILITARY TRL
SUITE 202
JUPITER, FL
ZIP 33458-810
Phone: (561) 748-1565
Fax: (561) 748-1568
The provider's authorized official is Kim Edward Koger .
The authorized official title is Medical Director and has the following contact phone number (561) 748-1565.
The enumeration date for this NPI number is 6/18/2009 and was last updated on 7/9/2009.