Active NPI
Summit Wellness of Jupiter, LLC
- Family Medicine Physician
- Jupiter, FL
National Provider Identifier
1154911543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SUMMIT WELLNESS OF JUPITER, LLC
- Practice address
- 250 S Central Blvd Ste 106
Jupiter, FL 33458-8812 - Phone
- (561) 309-4767
- NPI assigned
- Jan 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victoria L Canarelli, APRN
- Title
- Ceo
- Phone
- (561) 309-4767
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
250 S Central Blvd Ste 106
Jupiter, FL 33458-8812
Mailing address
6650 W Indiantown Rd Ste 200-57
Jupiter, FL 33458-4628
Phone (561) 309-4767
National Provider Directory
National Provider DirectoryLocations
6650 W Indiantown Rd
Ste 20057
Jupiter, FL 33458
250 S Central Blvd
Ste 106
Jupiter, FL 33458
Phone (561) 309-4767
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Weston, FL
- NPI 1669825238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688947200000",
"number": "1154911543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6650 W INDIANTOWN RD STE 200-57",
"city": "JUPITER",
"state": "FL",
"postal_code": "334584628",
"telephone_number": "561-309-4767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 S CENTRAL BLVD STE 106",
"city": "JUPITER",
"state": "FL",
"postal_code": "334588812",
"telephone_number": "561-309-4767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT WELLNESS OF JUPITER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-20",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A",
"authorized_official_last_name": "CANARELLI",
"authorized_official_first_name": "VICTORIA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "561-309-4767",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.