Individual provider · Type 1 NPI

Jared L. Brunk, PA-C

Medical Physician Assistant · Jupiter, FL

NPI number 1104890839 Active

Practice location

210 Jupiter Lakes Blvd, Ste. 5105
Jupiter, FL 33458-7191

Call (561) 748-4445 Map

Fax (561) 748-4449

Mailing address

210 Jupiter Lakes Blvd., Ste. 5105
Jupiter, FL 33458

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9103230 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1104890839

Jared L. Brunk, PA-C's National Provider Identifier is 1104890839, issued on Feb 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jupiter, FL. The record was last updated on Jan 15, 2008.