| Jupiter Laser and Regenerative Medicine LLC | |
|
4601 Military Trl Ste 202 Jupiter FL 33458-4835 | |
| (561) 624-4800 | |
| (561) 624-5206 |
| Full Name | Jupiter Laser and Regenerative Medicine LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4601 Military Trl Ste 202, Jupiter, Florida |
| Authorized Official Name and Position | Orlando Cedeno (OWNER) |
| Authorized Official Contact | 5616244800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jupiter Laser and Regenerative Medicine LLC 4601 Military Trl Ste 202 Jupiter FL 33458-4835 Ph: (561) 624-4800 | Jupiter Laser and Regenerative Medicine LLC 4601 Military Trl Ste 202 Jupiter FL 33458-4835 Ph: (561) 624-4800 |
| NPI Number | 1831779834 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 04/26/2021 |
| Certification Date | 04/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831779834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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