JUPITER HAND TO SHOULDER, LLC (NPI# 1467796797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467796797 |
| Entity Type | Organization |
| Organization Name | JUPITER HAND TO SHOULDER, LLC |
| Other Organization Name | PALM BEACH HAND TO SHOULDER |
| Practice Address |
1002 S Old Dixie Hwy Suite 105 Jupiter FL 33458 |
| Mailing Address |
1002 S Old Dixie Hwy Suite 105 Jupiter FL 33458-7202 |
| Practice Telephone | 5617467686 |
| Practice Fax Number | 5617463420 |
| Mailing Telephone | 5617467686 |
| Mailing Fax Number | 5617463420 |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2018-07-16 |
| Authorized Official Name | VERONICA ASELA DIAZ (OWNER) |
| Authorized Official Telephone | 5617467686 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
ME104238 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Palm Beach Hand to Shoulder | Doing Business As Name - Organization |
| Street Address |
1002 S OLD DIXIE HWY SUITE 105 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538121298 | Barry Marc Miskin | Surgery | 1002 S Old Dixie Hwy, Suite 304, Jupiter, FL 33458-7202 | 2006-04-06 |
| 1770010548 | Anesthesiology of Jupiter, Pa. | Anesthesiology | 1002 S Old Dixie Hwy, Suite 302, Jupiter, FL 33458-7202 | 2017-05-11 |
| 1538514195 | Primary Care Services of Jupiter Medical Specialists, LLC | Family Medicine | 1002 S Old Dixie Hwy, Suite 206, Jupiter, FL 33458-7202 | 2016-05-02 |
| 1235508185 | 21st Century Oncology LLC | Urology | 1002 S Old Dixie Hwy, Suite 104, Jupiter, FL 33458-7202 | 2015-09-22 |
| 1629446992 | 21st Century Oncology LLC | Urology | 1002 S Old Dixie Hwy, Suite 104, Jupiter, FL 33458-7202 | 2015-09-03 |
| 1891126082 | General Surgery of Jupiter Medical Specialists, LLC | Surgery | 1002 S Old Dixie Hwy, Suite 304, Jupiter, FL 33458-7202 | 2013-12-12 |
| 1073944260 | General Surgery of Jupiter Medical Specialists, LLC | Surgery | 1002 S Old Dixie Hwy, Suite 203, Jupiter, FL 33458-7202 | 2013-12-12 |
| 1871854570 | Florida Hand Rehabilitation Inc | Occupational Therapist | 1002 S Old Dixie Hwy, Suite 105, Jupiter, FL 33458-7202 | 2012-05-30 |
| 1780900449 | Thebaut Consulting Inc., Dba Palm Beach Hand | Orthopaedic Surgery | 1002 S Old Dixie Hwy, Suite 105, Jupiter, FL 33458-7202 | 2010-04-20 |
| 1720312739 | William Alfonso Gustave | Family Medicine | 1002 S Old Dixie Hwy, Suite 206, Jupiter, FL 33458-7202 | 2009-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
| Find all providers in zip 33458 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679006373 | Hand Surgery of Central Florida | Surgery | 1241 S. Ridgewood Ave., Daytona Beach, FL 32114 | 2017-04-10 |
| 1841427861 | Jose L Borrero | Surgery | 630 Jasmine Rd, Altamonte Springs, FL 32701-4807 | 2009-06-17 |
| 1982895223 | George Dimitrios Papanicolaou | Surgery | 3272 W Lake Mary Blvd Ste 1810, Lake Mary, FL 32746-3589 | 2007-08-01 |
| 1629268842 | Jesse O Basadre Md Pa | Surgery | 1699 Sw 27th Ave, Miami, FL 33145 | 2007-07-25 |
| 1073712071 | Ehsan Esmaeili | Surgery | 1905 Clint Moore Rd., Suite 105, Boca Raton, FL 33496 | 2007-07-11 |
| 1770704520 | Medlink Management Services Inc | Surgery | 575 Se 3rd Ave, Lake Butler, FL 32054-2647 | 2007-05-01 |
| 1619196185 | Khader Muqtadir | Surgery | 13905 Bruce B Downs Blvd Ste B, Tampa, FL 33613-3998 | 2007-04-24 |
| 1609941244 | Jesse Orlando Basadre | Surgery | 1699 Sw 27 Avenue, Miami, FL 33145 | 2006-11-21 |
| 1275606634 | William W Adams | Surgery | 2299 9th Ave North, Suite 2c, Saint Petersburg, FL 33713 | 2006-11-15 |
| 1427089309 | Vikram P Mehta | Surgery | 4106 W. Lake Mary Blvd, Suite 224, Lake Mary, FL 32746 | 2006-07-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JUPITER HAND TO SHOULDER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.