| Jupiter Medical Center Physicians Group Inc | |
|
1210 S Old Dixie Hwy Jupiter FL 33458-7205 | |
| (561) 747-2234 | |
| Not Available |
| Full Name | Jupiter Medical Center Physicians Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1210 S Old Dixie Hwy, Jupiter, Florida |
| Authorized Official Name and Position | Jennifer Slis (DIRECTOR OF REVENUE INTEGRITY) |
| Authorized Official Contact | 5612632839 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jupiter Medical Center Physicians Group Inc Po Box 95000-8797 Philadelphia PA 19195-0001 Ph: (561) 263-7270 | Jupiter Medical Center Physicians Group Inc 1210 S Old Dixie Hwy Jupiter FL 33458-7205 Ph: (561) 747-2234 |
| NPI Number | 1396992475 |
|---|---|
| Provider Enumeration Date | 08/20/2008 |
| Last Update Date | 04/30/2024 |
| Medicare PECOS PAC ID | 4284797069 |
|---|---|
| Medicare Enrollment ID | O20090106000637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396992475 | NPI | - | NPPES |
| Provider Name | Srinath Sundararaman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336142488 PECOS PAC ID: 7214825801 Enrollment ID: I20040305000764 |
| Provider Name | Barry M Miskin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538121298 PECOS PAC ID: 8325940596 Enrollment ID: I20040329001421 |
| Provider Name | Kenneth A Lee |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1295734960 PECOS PAC ID: 1254325020 Enrollment ID: I20040413001807 |
| Provider Name | Harry J Romero |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700854163 PECOS PAC ID: 7810970092 Enrollment ID: I20040609000719 |
| Provider Name | Jeffrey E Ingeman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063491850 PECOS PAC ID: 3072575091 Enrollment ID: I20041102000507 |
| Provider Name | Marshall M Stone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649255324 PECOS PAC ID: 5092778753 Enrollment ID: I20041108000070 |
| Provider Name | Nancy Taft |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1366496028 PECOS PAC ID: 2567426273 Enrollment ID: I20041113000017 |
| Provider Name | Arthur H Katz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124035720 PECOS PAC ID: 1557310703 Enrollment ID: I20050118000246 |
| Provider Name | Constance B Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376766980 PECOS PAC ID: 4284671769 Enrollment ID: I20050415000477 |
| Provider Name | Ella Varney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205821691 PECOS PAC ID: 1951330935 Enrollment ID: I20050810000396 |
| Provider Name | Donna M Pinelli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023019023 PECOS PAC ID: 0547292484 Enrollment ID: I20050831000544 |
| Provider Name | Kenneth J Fuquay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225095599 PECOS PAC ID: 8224080205 Enrollment ID: I20051019000491 |
| Provider Name | Harold S Rabinovitz |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1093710618 PECOS PAC ID: 4880602622 Enrollment ID: I20060405000218 |
| Provider Name | Joyce E Defrancesco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568433597 PECOS PAC ID: 8628077088 Enrollment ID: I20061212000418 |
| Provider Name | Richard A Dube |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1356360606 PECOS PAC ID: 7911008743 Enrollment ID: I20070724000566 |
| Provider Name | Janet W Radford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992920599 PECOS PAC ID: 4688761414 Enrollment ID: I20071026000080 |
| Provider Name | Jefferson R Vaughan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780649988 PECOS PAC ID: 9537163167 Enrollment ID: I20071212000327 |
| Provider Name | Nathaniel R Drourr |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1336186915 PECOS PAC ID: 0648358358 Enrollment ID: I20080422000301 |
| Provider Name | Juliet T Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538359443 PECOS PAC ID: 0143391490 Enrollment ID: I20080614000074 |
| Provider Name | Vicki J Carrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063616159 PECOS PAC ID: 8729150701 Enrollment ID: I20080708000567 |
| Provider Name | Hillary Clair Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790971356 PECOS PAC ID: 6608940770 Enrollment ID: I20080807000296 |
| Provider Name | Nicolas Pineiro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235300211 PECOS PAC ID: 9931267390 Enrollment ID: I20081029000362 |
| Provider Name | Irene M Mayer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073601944 PECOS PAC ID: 2062579584 Enrollment ID: I20090326000507 |
| Provider Name | Judith A. Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619187879 PECOS PAC ID: 4082766217 Enrollment ID: I20090717000493 |
| Provider Name | Rahul Aggarwal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740336908 PECOS PAC ID: 5799885513 Enrollment ID: I20090722000685 |
| Provider Name | Lawrence A Tepper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528033958 PECOS PAC ID: 9830266303 Enrollment ID: I20091015000364 |
| Provider Name | Marcia Haines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265667877 PECOS PAC ID: 5294872123 Enrollment ID: I20091027000267 |
| Provider Name | Peter Lyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033219076 PECOS PAC ID: 2860416609 Enrollment ID: I20100218000260 |
| Provider Name | Glendese C Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902906373 PECOS PAC ID: 0345213088 Enrollment ID: I20100301000345 |
| Provider Name | Sean A Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902831787 PECOS PAC ID: 1658319736 Enrollment ID: I20100510000580 |
| Provider Name | Craig D Vogel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144298829 PECOS PAC ID: 6608907035 Enrollment ID: I20100629000834 |
| Provider Name | Johnnie L Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285640227 PECOS PAC ID: 7517150550 Enrollment ID: I20101021001297 |
| Provider Name | Craig Philip Prokos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205838166 PECOS PAC ID: 6709072044 Enrollment ID: I20101129000178 |
| Provider Name | John A P Rimmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376679209 PECOS PAC ID: 0648293886 Enrollment ID: I20101203000754 |
| Provider Name | Ronald S Zelnick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871589598 PECOS PAC ID: 7810183191 Enrollment ID: I20101220000678 |
| Provider Name | Marina A Yudis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083918460 PECOS PAC ID: 8820267305 Enrollment ID: I20110818000321 |
| Provider Name | Allison Holley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104050848 PECOS PAC ID: 5991977951 Enrollment ID: I20111017000602 |
| Provider Name | David S Weisman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235302803 PECOS PAC ID: 6002968757 Enrollment ID: I20111128000771 |
| Provider Name | Valerie B Benvenuto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538396320 PECOS PAC ID: 7012170285 Enrollment ID: I20120525000393 |
| Provider Name | Susan M Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225394497 PECOS PAC ID: 4587828355 Enrollment ID: I20120606000492 |
| Provider Name | Belinda L Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134450620 PECOS PAC ID: 0042460867 Enrollment ID: I20121101000039 |
| Provider Name | Tara D Darvill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801149992 PECOS PAC ID: 5294988218 Enrollment ID: I20121226000192 |
| Provider Name | Melissa A Dail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679822449 PECOS PAC ID: 2163677659 Enrollment ID: I20130307000407 |
| Provider Name | William A Gustave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720312739 PECOS PAC ID: 5092997767 Enrollment ID: I20130605000107 |
| Provider Name | Florine Samson-alexis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972856896 PECOS PAC ID: 7214176866 Enrollment ID: I20130612000201 |
| Provider Name | Morteza Tavakol |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043476807 PECOS PAC ID: 9830243682 Enrollment ID: I20130716000163 |
| Provider Name | Teaondra M Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467887059 PECOS PAC ID: 2466686159 Enrollment ID: I20131011001497 |
| Provider Name | Matthew D Capuano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649445925 PECOS PAC ID: 1153508932 Enrollment ID: I20131021001046 |
| Provider Name | Cheryl Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952650459 PECOS PAC ID: 1759516511 Enrollment ID: I20131101001178 |
| Provider Name | Sydney V Mee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437582517 PECOS PAC ID: 3678708492 Enrollment ID: I20131104001076 |
| Provider Name | Tara S Keating |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568899961 PECOS PAC ID: 3577790443 Enrollment ID: I20131220001671 |
| Provider Name | Roanna Kingman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598017972 PECOS PAC ID: 2365666328 Enrollment ID: I20140612001153 |
| Provider Name | Karey Mewbourn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992116958 PECOS PAC ID: 6800014135 Enrollment ID: I20140828002372 |
| Provider Name | Emily A Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013315019 PECOS PAC ID: 7911224142 Enrollment ID: I20150326001306 |
| Provider Name | Sujal S Shah |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1346426566 PECOS PAC ID: 4486714003 Enrollment ID: I20150505001743 |
| Provider Name | Kathie Kowalczyk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639425986 PECOS PAC ID: 7618297516 Enrollment ID: I20150515001829 |
| Provider Name | Gary L Bradley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457631350 PECOS PAC ID: 2567770134 Enrollment ID: I20150930002969 |
| Provider Name | Maureen Annette Hyland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306851126 PECOS PAC ID: 1951359819 Enrollment ID: I20151002001982 |
| Provider Name | Howard B Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528132032 PECOS PAC ID: 4880685833 Enrollment ID: I20151202000293 |
| Provider Name | Suzette Prendergast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255706065 PECOS PAC ID: 7113222605 Enrollment ID: I20160222000854 |
| Provider Name | Lara Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336500586 PECOS PAC ID: 4082905286 Enrollment ID: I20160620000005 |
| Provider Name | Kerone P Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538470919 PECOS PAC ID: 1951520337 Enrollment ID: I20160622001704 |
| Provider Name | Lindsay K Silas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962856559 PECOS PAC ID: 2365735719 Enrollment ID: I20160722002480 |
| Provider Name | Christopher J Darcey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801988720 PECOS PAC ID: 8426125014 Enrollment ID: I20160726000402 |
| Provider Name | Michelle L Frazee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497114755 PECOS PAC ID: 9739472937 Enrollment ID: I20160726001647 |
| Provider Name | Michele H Deltieure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821241779 PECOS PAC ID: 1052607819 Enrollment ID: I20160906000916 |
| Provider Name | Danielle M Lucien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083054035 PECOS PAC ID: 7517253636 Enrollment ID: I20160915000939 |
| Provider Name | Nathan B Tennyson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881986800 PECOS PAC ID: 4082857982 Enrollment ID: I20161003002613 |
| Provider Name | Lucy Maria De La Cruz |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1649595653 PECOS PAC ID: 3971815630 Enrollment ID: I20161012000812 |
| Provider Name | Sarah E Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417403122 PECOS PAC ID: 4688952682 Enrollment ID: I20161026001175 |
| Provider Name | Jessica L Visser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912249756 PECOS PAC ID: 6901185784 Enrollment ID: I20161118000592 |
| Provider Name | Zahidul Huq |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1811253057 PECOS PAC ID: 9133409279 Enrollment ID: I20161207002580 |
| Provider Name | Wallace Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831490432 PECOS PAC ID: 1052607108 Enrollment ID: I20161229000763 |
| Provider Name | David Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578903654 PECOS PAC ID: 4880978840 Enrollment ID: I20170313000387 |
| Provider Name | William J Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679757082 PECOS PAC ID: 7012801715 Enrollment ID: I20170504002354 |
| Provider Name | Sunil M Chauhan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912922881 PECOS PAC ID: 5698705408 Enrollment ID: I20170908000633 |
| Provider Name | Julian K Berrocal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164711479 PECOS PAC ID: 8921392135 Enrollment ID: I20171012000856 |
| Provider Name | Melissa G Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063953628 PECOS PAC ID: 5597030841 Enrollment ID: I20171012001197 |
| Provider Name | Kelli A Callahan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639620826 PECOS PAC ID: 4880960137 Enrollment ID: I20171101000757 |
| Provider Name | Patrick Vergel De Dios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760993786 PECOS PAC ID: 9931466216 Enrollment ID: I20171121001494 |
| Provider Name | Doris Mindy Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366966863 PECOS PAC ID: 4981961471 Enrollment ID: I20171208002187 |
| Provider Name | Shanel Balwant Bhagwandin |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1609192509 PECOS PAC ID: 4486914694 Enrollment ID: I20180208001590 |
| Provider Name | Alyzza De La Uz Forte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922536648 PECOS PAC ID: 4880955905 Enrollment ID: I20180305002407 |
| Provider Name | Michael Cancio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851786594 PECOS PAC ID: 9436463726 Enrollment ID: I20180706001589 |
| Provider Name | Meshach P Cober |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245529551 PECOS PAC ID: 2264653963 Enrollment ID: I20180730002233 |
| Provider Name | Kathryn M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790160380 PECOS PAC ID: 3072865534 Enrollment ID: I20181010002806 |
| Provider Name | Sarah M Robitaille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265935399 PECOS PAC ID: 0648522789 Enrollment ID: I20181017003000 |
| Provider Name | Erica J Florea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225527849 PECOS PAC ID: 1456603539 Enrollment ID: I20181018000968 |
| Provider Name | James Michael Gardner |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679848766 PECOS PAC ID: 0941511877 Enrollment ID: I20181120002511 |
| Provider Name | Samantha A Baroody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891175964 PECOS PAC ID: 6800101841 Enrollment ID: I20181210001272 |
| Provider Name | Atif Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164817805 PECOS PAC ID: 1153668983 Enrollment ID: I20190131002258 |
| Provider Name | Nicole Y Greiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508240516 PECOS PAC ID: 1052628310 Enrollment ID: I20190211003165 |
| Provider Name | Kevin R Green |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346602927 PECOS PAC ID: 7214220680 Enrollment ID: I20190509000937 |
| Provider Name | Nichole M Corry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578659231 PECOS PAC ID: 8022154376 Enrollment ID: I20190516001031 |
| Provider Name | Mariol Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972067858 PECOS PAC ID: 3779826011 Enrollment ID: I20190530000315 |
| Provider Name | Adiena Amaro Herist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568846038 PECOS PAC ID: 1557694643 Enrollment ID: I20190604002595 |
| Provider Name | Ximena A Morales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982099768 PECOS PAC ID: 8224361134 Enrollment ID: I20190607002269 |
| Provider Name | Cynthia Amber Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477893832 PECOS PAC ID: 4587807987 Enrollment ID: I20190617002905 |
| Provider Name | Daniela Rodrigues |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043673932 PECOS PAC ID: 7214261833 Enrollment ID: I20190701001936 |
| Provider Name | Mark Phillip Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821450834 PECOS PAC ID: 6103104260 Enrollment ID: I20190709000747 |
| Provider Name | Hiep Cong Nguyen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1821189937 PECOS PAC ID: 9436251642 Enrollment ID: I20190724002287 |
| Provider Name | Ryan H Devine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568622207 PECOS PAC ID: 1254576291 Enrollment ID: I20190802002342 |
| Provider Name | Michael J Agatstein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730543638 PECOS PAC ID: 0446587364 Enrollment ID: I20190814002893 |
| Provider Name | Jessica Samantha Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679093579 PECOS PAC ID: 3779812789 Enrollment ID: I20190916003283 |
| Provider Name | Cynthia S Prokos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790338663 PECOS PAC ID: 9638502214 Enrollment ID: I20191212002004 |
| Provider Name | Debra Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295710986 PECOS PAC ID: 6901233139 Enrollment ID: I20200227000994 |
| Provider Name | Kelly C Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184270209 PECOS PAC ID: 9335576255 Enrollment ID: I20200305000234 |
| Provider Name | Nikola Jovanovic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417332438 PECOS PAC ID: 1557657699 Enrollment ID: I20200430002524 |
| Provider Name | Mina Awadallah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497288088 PECOS PAC ID: 8022385160 Enrollment ID: I20200513002667 |
| Provider Name | Dave R Prashad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154854305 PECOS PAC ID: 6406123751 Enrollment ID: I20200522000095 |
| Provider Name | Kevan Manraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598299802 PECOS PAC ID: 3476819921 Enrollment ID: I20200603002269 |
| Provider Name | Natalie Fix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538798764 PECOS PAC ID: 0941622963 Enrollment ID: I20200622000578 |
| Provider Name | Gemma Gulati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932561388 PECOS PAC ID: 4183918246 Enrollment ID: I20200709000113 |
| Provider Name | Kathleen L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154805877 PECOS PAC ID: 4385064575 Enrollment ID: I20201008001563 |
| Provider Name | Ashley M Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891286209 PECOS PAC ID: 6800216904 Enrollment ID: I20201012000332 |
| Provider Name | Adrianna Kelmendi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528475621 PECOS PAC ID: 1456641414 Enrollment ID: I20201021002455 |
| Provider Name | Debra S Brandt |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710918032 PECOS PAC ID: 4880607324 Enrollment ID: I20201112001729 |
| Provider Name | Jennifer A Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679179485 PECOS PAC ID: 4284048265 Enrollment ID: I20210203000479 |
| Provider Name | Dhimant R Patel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1851330120 PECOS PAC ID: 7810914397 Enrollment ID: I20210401000775 |
| Provider Name | Sandina Samantha Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225623408 PECOS PAC ID: 9234547407 Enrollment ID: I20210428001211 |
| Provider Name | Jasmine Rivas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225535933 PECOS PAC ID: 0345597217 Enrollment ID: I20210611001839 |
| Provider Name | Muhammad S Faiz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285137059 PECOS PAC ID: 4183026032 Enrollment ID: I20210714002323 |
| Provider Name | Christal Elise Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639737026 PECOS PAC ID: 1759784614 Enrollment ID: I20210729001864 |
| Provider Name | William Wunder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750464020 PECOS PAC ID: 1456493733 Enrollment ID: I20210803002550 |
| Provider Name | Sara R Iskandar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104329242 PECOS PAC ID: 7113357815 Enrollment ID: I20210825000301 |
| Provider Name | William J Kokotos |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1386626687 PECOS PAC ID: 7214920016 Enrollment ID: I20210825003570 |
| Provider Name | Ram Kaveti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538491626 PECOS PAC ID: 7517150139 Enrollment ID: I20210916000940 |
| Provider Name | Alexandra Quinones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467993915 PECOS PAC ID: 6406186659 Enrollment ID: I20210922000795 |
| Provider Name | Nadia R Ramjattansingh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366119133 PECOS PAC ID: 2668879925 Enrollment ID: I20210929001323 |
| Provider Name | Jadeene Cheal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942872494 PECOS PAC ID: 4587062245 Enrollment ID: I20211011000697 |
| Provider Name | Adam J Kotkiewicz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356491179 PECOS PAC ID: 1052509783 Enrollment ID: I20211209000945 |
| Provider Name | Lisa L Ciaravino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255921227 PECOS PAC ID: 9032509849 Enrollment ID: I20211210000882 |
| Provider Name | Boris G Naraev |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1437313491 PECOS PAC ID: 5890840219 Enrollment ID: I20220120000449 |
| Provider Name | Victoria Lyndsey Canarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669825238 PECOS PAC ID: 5991198186 Enrollment ID: I20220211000082 |
| Provider Name | Jennifer Leigh Bart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902553571 PECOS PAC ID: 5698160919 Enrollment ID: I20220322003137 |
| Provider Name | Olga Bartov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417618125 PECOS PAC ID: 8426444324 Enrollment ID: I20220401000079 |
| Provider Name | James Takara |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1902883747 PECOS PAC ID: 5597770263 Enrollment ID: I20220418000264 |
| Provider Name | Mohamed Abdul Qader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487114633 PECOS PAC ID: 7315274701 Enrollment ID: I20220706002635 |
| Provider Name | Skirmante Sirvaitis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316402696 PECOS PAC ID: 2860874328 Enrollment ID: I20220729002031 |
| Provider Name | Maggie Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346972783 PECOS PAC ID: 0446633176 Enrollment ID: I20220812003103 |
| Provider Name | Namratha Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629430434 PECOS PAC ID: 5698068922 Enrollment ID: I20221005002588 |
| Provider Name | Theodore Heninger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275266728 PECOS PAC ID: 1850768698 Enrollment ID: I20221107003395 |
| Provider Name | Zakiya Moyenda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073878138 PECOS PAC ID: 0143537563 Enrollment ID: I20230131002992 |
| Provider Name | Christine Marie Obermaier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952785610 PECOS PAC ID: 7810203643 Enrollment ID: I20230215002379 |
| Provider Name | Majd Jazaerly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093219537 PECOS PAC ID: 0749512242 Enrollment ID: I20230417000331 |
| Provider Name | Vivek Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568515393 PECOS PAC ID: 3779634761 Enrollment ID: I20230421002589 |
| Provider Name | Elizabeth Fathauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184321440 PECOS PAC ID: 3779949722 Enrollment ID: I20230516003682 |
| Provider Name | Marise Desir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801552393 PECOS PAC ID: 5698131498 Enrollment ID: I20230522001000 |
| Provider Name | Nicole M Bails |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467149831 PECOS PAC ID: 0143687582 Enrollment ID: I20230531000963 |
| Provider Name | Michael S Sabbah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467872481 PECOS PAC ID: 3577780295 Enrollment ID: I20230626002390 |
| Provider Name | Michael Worley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013157734 PECOS PAC ID: 7911145321 Enrollment ID: I20230714002996 |
| Provider Name | Saryleine Ortiz De Choudens |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1912384280 PECOS PAC ID: 9335520733 Enrollment ID: I20230809004255 |
| Provider Name | Jon S Dubois |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922080241 PECOS PAC ID: 1153337290 Enrollment ID: I20230816004205 |
| Provider Name | Carrie Lynn Salvia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144675596 PECOS PAC ID: 3173813508 Enrollment ID: I20230831004088 |
| Provider Name | Laura C Conway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235215138 PECOS PAC ID: 9537219498 Enrollment ID: I20231003001533 |
| Provider Name | Jennifer R Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760730733 PECOS PAC ID: 3870948995 Enrollment ID: I20231010002612 |
| Provider Name | Michelle Valentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992006514 PECOS PAC ID: 7416125315 Enrollment ID: I20240229001390 |
Md Now Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1697 W Indiantown Rd, Jupiter, FL 33458 Phone: 561-300-4123 Fax: 866-816-0932 | |
Palm Beach Holistic Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 W Indiantown Rd, Suite 100, Jupiter, FL 33458 Phone: 561-935-1090 Fax: 561-935-1080 | |
Tenet Florida Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 University Blvd, Ste 208, Jupiter, FL 33458 Phone: 561-625-6177 | |
Nu Forme Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Majorca Way Apt 103, Jupiter, FL 33458 Phone: 561-215-9762 | |
Flomed Infusion Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 W Indiantown Rd Ste 201, Jupiter, FL 33458 Phone: 561-559-9800 | |
Hangover Iv & Beauty Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Military Trl Ste 110, Jupiter, FL 33458 Phone: 561-774-3443 Fax: 561-630-6011 | |
Obct Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 W Indiantown Rd Ste 203b, Jupiter, FL 33458 Phone: 313-515-0710 Fax: 888-494-2192 |