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Contact Information

ADVANCED PHYSICAL MEDICINE & REHAB OF JUPITER LLC
175 TONEY PENNA DR STE 102
JUPITER, FL33458-5747
 Phone: 305-598-8788
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ADVANCED PHYSICAL MEDICINE & REHAB OF JUPITER LLC

NPI # 1467107193
LBN Legal business name ADVANCED PHYSICAL MEDICINE & REHAB OF JUPITER LLC
Authorized official JOSEPH GAMBARDELLA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/22/2022
Last updated 04/04/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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