Active NPI
Primary Care Services of Jupiter Medical Specialists, LLC
- Family Medicine Physician
- Palm Beach Gardens, FL
National Provider Identifier
1801271994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRIMARY CARE SERVICES OF JUPITER MEDICAL SPECIALISTS, LLC
- Practice address
- 3401 Pga Blvd
Suite 320
Palm Beach Gardens, FL 33410-2823 - Phone
- (561) 741-5620
- NPI assigned
- Jul 30, 2015
- 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
- Karen Vaughn
- Title
- Officer
- Phone
- (973) 251-1132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3401 Pga Blvd
Suite 320
Palm Beach Gardens, FL 33410-2823
Mailing address
PO Box 450608
Sunrise, FL 33345-0608
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680048000000",
"number": "1801271994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 450608",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333450608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 PGA BLVD",
"address_2": "SUITE 320",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102823",
"telephone_number": "561-741-5620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE SERVICES OF JUPITER MEDICAL SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-30",
"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": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- 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.