Organization Active NPI

Castleton Family Practice LLC

  • Primary Care Clinic/Center
  • Jupiter, FL
National Provider Identifier
1952419608
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CASTLETON FAMILY PRACTICE LLC
Doing business as
castleton family Practice, llc
Practice address
210 Jupiter Lakes Boulevard
Building 3000, Suite 102
Jupiter, FL 33458-7831
Phone
(561) 748-5456
Fax
(561) 748-5460
NPI assigned
Aug 25, 2006
Last updated
Aug 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Ms. Emmiel M May-Andris
Title
Sole Member
Phone
(651) 748-5456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

210 Jupiter Lakes Boulevard
Building 3000, Suite 102
Jupiter, FL 33458-7831

Mailing address

210 Jupiter Lakes Boulevard
Building 3000, Suite 102
Jupiter, FL 33458-7831
Phone (561) 748-5456

Other names 1

  • castleton family Practice, llc Doing business as

National Provider Directory

National Provider Directory

Locations

210 Jupiter Lakes Blvd
Unit 102
Jupiter, FL 33458
Phone (561) 748-5456

210 Jupiter Lakes Blvd
Unit 201
Jupiter, FL 33458
Phone (561) 748-5456

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1952419608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BOULEVARD",
            "address_2": "BUILDING 3000, SUITE 102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587831",
            "telephone_number": "561-748-5456",
            "fax_number": "561-748-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BOULEVARD",
            "address_2": "BUILDING 3000, SUITE 102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587831",
            "telephone_number": "561-748-5456",
            "fax_number": "561-748-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLETON FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "MAY-ANDRIS",
        "authorized_official_first_name": "EMMIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "651-748-5456",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "castleton family Practice, llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 28, 2012; 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.