JUPITER PEDIATRIC ASSOCIATES, PA (NPI# 1801821319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801821319 |
| Entity Type | Organization |
| Organization Name | JUPITER PEDIATRIC ASSOCIATES, PA |
| Practice Address |
6650 W Indiantown Rd Suite 110 Jupiter FL 33458-4628 |
| Practice Telephone | 5615759876 |
| Practice Fax Number | 5615752858 |
| Mailing Telephone | 5615759876 |
| Mailing Fax Number | 5615752858 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2019-10-22 |
| Authorized Official Name | PHILIP COLAIZZO (PRESIDENT) |
| Authorized Official Telephone | 5615759876 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 11832A | 01 |
| FL | 10262880 | 05 | |
| FL | BCBS | 21874 | 01 |
| Street Address |
6650 W INDIANTOWN RD SUITE 110 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-4628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821023334 | Philip Colaizzo | Pediatrics | 6650 W Indiantown Rd, Suite 110, Jupiter, FL 33458-4628 | 2006-07-12 |
| 1841812625 | Porter Elite Care Services LLC | Nurse Practitioner | 6650 W Indiantown Rd, Jupiter, FL 33458-4628 | 2020-05-14 |
| 1386185841 | Therapy for The Brain, LLC | Nurse Practitioner | 6650 W Indiantown Rd, Suite 110, Jupiter, FL 33458-4628 | 2017-03-16 |
| 1669825238 | Victoria Lyndsey Canarelli | Nurse Practitioner | 6650 W Indiantown Rd, Suite 110, Jupiter, FL 33458-4628 | 2016-07-19 |
| 1568846038 | Adiena Amaro Herist | Nurse Practitioner | 6650 W Indiantown Rd, Jupiter, FL 33458-4628 | 2015-07-15 |
| 1982095709 | Scott Kramer | Counselor | 6650 W Indiantown Rd, Suite 200, Jupiter, FL 33458-4628 | 2015-02-16 |
| 1003119835 | Ultra Care Pharmacy LLC | Pharmacy | 6650 W Indiantown Rd, 100, Jupiter, FL 33458 | 2010-12-17 |
| 1447442439 | Tapan Shah | Pharmacist | 6650 W Indiantown Rd, Suite 100, Jupiter, FL 33458-4628 | 2007-08-14 |
| 1922195809 | Beverly Jean Hunt | Nurse Practitioner | 6650 W Indiantown Rd, Suite 110, Jupiter, FL 33458-4628 | 2006-10-10 |
| 1457377095 | Michelle A Jn-baptiste | Physician Assistant | 6650 W Indiantown Rd, Suite #110, Jupiter, FL 33458-4628 | 2006-07-15 |
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| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588942353 | Neil Schlackman | Pediatrics | 141 W Village Way, Jupiter, FL 33458-7821 | 2011-07-28 |
| 1154655645 | Gardens Pediatrics Pbg Pa | Pediatrics | 500 University Blvd Ste 102, Jupiter, FL 33458-2774 | 2009-09-30 |
| 1871781930 | Country Doctor Medical Services, Inc | Pediatrics | 932 Marlin Cir, Jupiter, FL 33458-4306 | 2007-10-13 |
| 1649487703 | Infants and Children Pa | Pediatrics | 2141 Alternate Aia South, Suite 230, Jupiter, FL 33477-4063 | 2007-05-17 |
| 1699855791 | Jeanmarie Burigo Connor | Pediatrics | 224 Chimney Corner Ln Apt 2032, Jupiter, FL 33458-4802 | 2006-10-16 |
| 1255436390 | Roland Fernandez Gutierrez | Pediatrics | 1025 Military Trl Ste 109, Jupiter, FL 33458-7040 | 2006-09-13 |
| 1669584264 | Michael Bessos | Pediatrics | 9334 Southern Oak Ln, Jupiter, FL 33478-2238 | 2006-08-31 |
| 1821023334 | Philip Colaizzo | Pediatrics | 6650 W Indiantown Rd, Suite 110, Jupiter, FL 33458-4628 | 2006-07-12 |
| 1669414355 | Suzanne Pavlou | Pediatrics | 1210 S. Old Dixie Hwy, Jupiter Medical Center, Jupiter, FL 33458 | 2006-06-10 |
| 1952388001 | Paul Abreu | Pediatrics | 1025 Military Trail, Ste #109, Jupiter, FL 33458 | 2005-12-29 |
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| 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.