Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Plastic Surgery of Jupiter, PA

Organization Military Health Care Provider · NPI 1134356991

Plastic Surgery of Jupiter, PA provides Military Health Care Provider services in Jupiter, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4600 Military Trl Ste 202
Jupiter, FL 33458-4810 Not confirmed with CMS for 17 years — call before visiting
Phone: (561) 748-1565
Fax: (561) 748-1568
Show map & directions

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

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X · Licence ME75895 (FL)

Record details

NPI number1134356991
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Koger — Medical Director · (561) 748-1565
NPI enumeratedJune 18, 2009
Last updated in NPPESJuly 9, 2009
Mailing address4600 Military Trl, Suite 202, Jupiter, FL 33458-4810

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