Jared L. Brunk, PA-C

Medical Physician Assistant · Jupiter, FL

Individual Active NPI

NPI number 1104890839

Practice location

210 Jupiter Lakes Blvd
Ste. 5105
Jupiter, FL 33458-7191
Phone
(561) 748-4445
Fax
(561) 748-4449

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NPI record

NPI
1104890839
Entity type
Individual (Type 1)
Enumeration date
February 17, 2006
Last updated
January 15, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Medical Physician Assistant Primary 363AM0700X PA9103230 FL

Mailing address

210 Jupiter Lakes Blvd.
Ste. 5105
Jupiter, FL 33458
Phone
(561) 748-4445
Fax
(561) 748-4449

About Jared Brunk

Jared L. Brunk, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Medical Physician Assistant (code 363AM0700X). The practice location is 210 Jupiter Lakes Blvd, Ste. 5105, Jupiter, FL 33458-7191. The NPI number 1104890839 was assigned on February 17, 2006 and the record was last updated on January 15, 2008.

Jared Brunk lists a license in the registry: #PA9103230 (FL) for Medical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jared L. Brunk, PA-C?

The NPI number is 1104890839.

What is the phone number of Jared Brunk?

The phone number listed for the practice location is (561) 748-4445.

Where is Jared Brunk located?

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

What is the taxonomy code for Jared Brunk?

The primary taxonomy code is 363AM0700X – Medical Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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