Jupiter Laser and Regenerative Medicine LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

JUPITER LASER AND REGENERATIVE MEDICINE LLC

Practice address

4601 Military TRL Ste 202
Jupiter, FL 33458-4835

Phone

(561) 624-4800

Fax

(561) 624-5206

NPI assigned

Apr 13, 2021

Organization subpart

No

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

Authorized official

Name

Orlando Cedeno, D.P.M.NPI 1700076437

Title

Owner

Phone

(561) 624-4800

Specialties & licenses 1

Addresses

Other names 1

• Jupiter Laser and Regenerative Medicine LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Orlando A Cedeno, D.P.M.

  • Foot Surgery Podiatrist
  • Jupiter, FL
  • NPI 1700076437
  NPD Authorized official

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1831779834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 MILITARY TRL STE 202",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584835",
            "telephone_number": "561-624-4800",
            "fax_number": "561-624-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 MILITARY TRL STE 202",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584835",
            "telephone_number": "561-624-4800",
            "fax_number": "561-624-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER LASER AND REGENERATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "CEDENO",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-624-4800",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jupiter Laser and Regenerative Medicine LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Jupiter Laser and Regenerative Medicine LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jupiter Infusion LLC
• Jupiter Internal Medicine Associates P a
• Jupiter Internal Medicine Group LLC
• Jupiter Kidney Center LLC
• Jupiter Lakes Physician Group PA
• Jupiter Medical Center Pavilion Inc
• Jupiter Medical Center Pavilion, Inc.
• Jupiter Medical Center Physician Group
• Jupiter Medical Center Physicians Group
• Jupiter Medical Center Physicians Group

• All providers in Jupiter, FL
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.