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JUPITER LAKES PHYSICIAN GROUP PA
NPI 1154969699
Clinic/Center - Primary Care in Jupiter, FL

Active since December 16, 2019
210 JUPITER LAKES BLVD STE 4104, JUPITER, FL 33458(561) 744-3467(561) 748-3272 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jupiter Lakes Physician Group Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUPITER LAKES PHYSICIAN GROUP PA (NPI 1154969699) is a healthcare organization registered as a primary care in Jupiter, Florida and active in the NPI registry since December 2019. The organization lists Michelle Fuller, Administrator, as its authorized official.

NPPES Registry Identity

NPI1154969699
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJUPITER LAKES PHYSICIAN GROUP PA
Location Address210 JUPITER LAKES BLVD STE 4104Jupiter, FL 33458-7190
Mailing Address210 Jupiter Lakes Blvd Ste 4104Jupiter, FL 33458-7190 · (561) 744-3467 · Fax (561) 748-3272
Phone(561) 744-3467
Fax(561) 748-3272
Organization SubpartNo
Authorized OfficialMichelle FullerAdministrator · (561) 398-3661
Enumeration DateDecember 16, 2019
✔ NPI 1154969699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
210 JUPITER LAKES BLVD STE 4104, Jupiter, FL 33458
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE BRAIN SPA CONCIERGE PA
Psychiatry & Neurology (Psychiatry)
210 JUPITER LAKES BLVD STE 4104
JUPITER, FL 33458
Palm Beach County (561) 406-6561

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jupiter Lakes Physician Group PA's NPI number?

The NPI number for Jupiter Lakes Physician Group PA is 1154969699. It was assigned to this organization in the NPPES registry on December 16, 2019.

Where is Jupiter Lakes Physician Group PA located?

Jupiter Lakes Physician Group PA is located at 210 Jupiter Lakes Blvd Ste 4104, Jupiter, FL 33458. The listed phone number is (561) 744-3467.

What is Jupiter Lakes Physician Group PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Jupiter Lakes Physician Group PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Jupiter Lakes Physician Group PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jupiter Lakes Physician Group PA was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.