Primary Care Services of Jupiter Medical Specialists, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMARY CARE SERVICES OF JUPITER MEDICAL SPECIALISTS, LLC

Practice address

136 Jupiter Lakes Blvd
Jupiter, FL 33458-7180

Phone

(561) 746-3030

NPI assigned

Jan 11, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen Vaughn

Title

Officer

Phone

(973) 251-1132

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1396281671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 CENTERVIEW DR STE 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276063563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 JUPITER LAKES BLVD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587180",
            "telephone_number": "561-746-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE SERVICES OF JUPITER MEDICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "973-251-1132"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prestige Detox
• Jennifer Ann Preti, MA
• Ryan Price, DC
• Primary Care Services of Jupiter Medical Specialists, LLC
• Primary Care Services of Jupiter Medical Specialists, LLC
• Primary Care Services of Jupiter Medical Specialists, LLC
• Primary Care Services of Jupiter Medical Specialists, LLC
• Primary Care Services of Jupiter Medical Specialists, LLC
• Primary Care Services of Jupiter Medical Specialists, LLC
• Primary Care Services of Jupiter Medical Specialists, LLC

• Family Medicine Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.