Legal Business Name
Jplrc
Also Known As
Jplrc, Llc
NPI Number
1033507330
NPI Type
Organization
Enumeration Date
01/08/2015
Specialties
(Taxonomies)Code
207X00000X
207XP3100X
Primary Taxonomy
Yes
No
Licenses
State
Florida
License Number
ME111506
Contact
Information
Purpose
Mailing
Location
Address
108 INTRACOASTAL POINTE DR
108 INTRACOASTAL POINTE DR
City
Jupiter
Jupiter
State
FL
FL
Postal Code
33477-5036
33477-5036
Country
US
US
Telephone Number
(561) 529-4494
(561) 529-4494
Authorized Official
Name
Dr. Matthew Harris
Title or Position
MEDICAL DIRECTOR, SOLE PROPRIETOR
Telephone Number
(347) 891-1546
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/30/2018
Provider Address
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