General Surgery of Jupiter Medical Specialists, LLC
Organization Active NPI Surgery Physician · Mangonia Park, FL
NPI 1417520941 · NPPES record last updated Jul 22, 2021
Key facts
- NPI
- 1417520941
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- GENERAL SURGERY OF JUPITER MEDICAL SPECIALISTS, LLC
- Practice address
- 901 45TH St
Mangonia Park, FL 33407-2413 - Phone
- (877) 328-1119
- NPI assigned
- Jul 22, 2021
- Organization subpart
- No
Authorized official
- Name
- Kathy Kondas
- Title
- Officer
- Phone
- (877) 328-1119
Member of 2
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
901 45TH St
Mangonia Park, FL 33407-2413
Mailing address
5565 Centerview Dr Ste 107
Raleigh, NC 27606-3563
Other providers in Mangonia Park, FL
- Paul Steven Edgecomb
- Jeffrey Fletcher
- Florida Woman Care LLC
- FWC Perinatal, LLC
- FWC Urogynecology, LLC
- Kyle Gerakopoulos
- Tara Goldsmith
- Elisabeth Gonzalez
- Narayana Gowda
- Grandma Fee-Fee'S Home Care, LLC
All providers in Mangonia Park, FL · Surgery Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.