CONCIERGE FAMILY MEDICAL LLC NPI 1093191454

NPI Information

NPI: 1093191454
Provider Name: CONCIERGE FAMILY MEDICAL, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
13506 SUMMERPORT VILLAGE PKWY
STE 735
WINDERMERE, FL
ZIP 34786
Phone: (407) 414-5377
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CONCIERGE FAMILY MEDICAL, LLC is a family nurse practitioner in Windermere, FL. CONCIERGE FAMILY MEDICAL, LLC NPI is 1093191454. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13506 SUMMERPORT VILLAGE PKWY
STE 735
WINDERMERE, FL
ZIP 34786-366
Phone: (407) 414-5377

The provider's authorized official is Jessica E Bean .
The authorized official title is Family Nurse Practioner and has the following contact phone number (407) 414-5377.

The enumeration date for this NPI number is 8/7/2015 and was last updated on 8/7/2015.

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	363LF0000X	Nurse Practitioner	Family	L15000123427	FLORIDA	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: 11/14/2023

NPI Synchronization or Removal

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