OrganizationActive
Jupiter Lakes Physician Group PA
NPI 1154969699 · Primary Care Clinic/Center · Jupiter, FL
Provider details
- NPI number
- 1154969699
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michelle Fuller, Administrator(561) 398-3661
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
210 Jupiter Lakes Blvd Ste 4104
Jupiter, FL 33458-7190
Phone: (561) 744-3467
Fax: (561) 748-3272
Street-level locationGet directions
Mailing address
210 Jupiter Lakes Blvd Ste 4104
Jupiter, FL 33458-7190
Registry dates
- Enumerated
- 2019-12-16
- Last updated
- 2019-12-16
- Certified
- 2019-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.