| Jupiter Gardens Medical Center | |
|
175 Toney Penna Dr Ste 101 Jupiter FL 33458-5755 | |
| (561) 746-2033 | |
| (561) 744-5349 |
| Full Name | Jupiter Gardens Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 175 Toney Penna Dr, Jupiter, Florida |
| Authorized Official Name and Position | Ana I Nuchovich (RN/ OFFICE MANAGER) |
| Authorized Official Contact | 5617462033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jupiter Gardens Medical Center 175 Toney Penna Dr 101 Jupiter FL 33458-5755 Ph: (561) 746-2033 | Jupiter Gardens Medical Center 175 Toney Penna Dr Ste 101 Jupiter FL 33458-5755 Ph: (561) 746-2033 |
| NPI Number | 1376859744 |
|---|---|
| Provider Enumeration Date | 08/24/2010 |
| Last Update Date | 02/18/2011 |
| Medicare PECOS PAC ID | 9931384724 |
|---|---|
| Medicare Enrollment ID | O20110420000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376859744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME 0053694 (Florida) | Primary |
| Provider Name | Daniel I Nuchovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790747806 PECOS PAC ID: 9739364522 Enrollment ID: I20110513000719 |
| Provider Name | Sandhya Pattem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639198856 PECOS PAC ID: 9436155819 Enrollment ID: I20210223001858 |
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