Active NPI
Altus Medical Group Ofl LLC
- Multi-Specialty Clinic/Center
- Jupiter, FL
National Provider Identifier
1932989415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- ALTUS MEDICAL GROUP OFL LLC
- Practice address
- 3535 Military TRL Ste 200
Jupiter, FL 33458-5009 - Phone
- (561) 529-2283
- NPI assigned
- Oct 3, 2023
- 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
- Jonn McClellan
- Title
- Owner
- Phone
- (561) 902-9881
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
3535 Military TRL Ste 200
Jupiter, FL 33458-5009
Mailing address
3535 Military TRL Ste 200
Jupiter, FL 33458-5009
Phone (561) 529-2283
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696291200000",
"number": "1932989415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 MILITARY TRL STE 200",
"city": "JUPITER",
"state": "FL",
"postal_code": "334585009",
"telephone_number": "561-529-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 MILITARY TRL STE 200",
"city": "JUPITER",
"state": "FL",
"postal_code": "334585009",
"telephone_number": "561-529-2283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTUS MEDICAL GROUP OFL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-03",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A",
"authorized_official_last_name": "MCCLELLAN",
"authorized_official_first_name": "JONN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-902-9881"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"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 Oct 3, 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.