Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jupiter Primary Care Group Inc

Organization Internal Medicine Physician · NPI 1619178001

Jupiter Primary Care Group Inc is an Internal Medicine Physician in Jupiter, Florida. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

210 Jupiter Lakes Blvd Bldg 4000 Ste 105
Jupiter, FL 33458-7191
Phone: (561) 743-9077
Fax: (561) 745-6529
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1619178001
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Fatima Fuller — Office Manager · (561) 629-2990
NPI enumeratedMay 31, 2007
Last updated in NPPESAugust 22, 2020
Mailing address210 Jupiter Lakes Blvd, Building 4000 Suite 105, Jupiter, FL 33458-7191

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