CONCIERGE PRIMARY CARE LLC NPI 1760009138

NPI Information

NPI: 1760009138
Provider Name: CONCIERGE PRIMARY CARE LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

CLIA Number: 10D2184396

Address:
9500 NW 49TH CT
CORAL SPRINGS, FL
ZIP 33076
Phone: (954) 501-3861
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CONCIERGE PRIMARY CARE LLC is an adult health nurse practitioner in Coral Springs, FL. CONCIERGE PRIMARY CARE LLC NPI is 1760009138. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9500 NW 49TH CT
CORAL SPRINGS, FL
ZIP 33076-465
Phone: (954) 501-3861
Fax: (608) 305-8874

The provider's authorized official is Tiffany Williamson .
The authorized official title is Sole Proprietor and has the following contact phone number (954) 501-3861.

The CLIA number assigned to this NPI record is 10D2184396 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2020 and was last updated on 2/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health		KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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