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BLUE CONCIERGE MEDICINE LLC NPI 1659046498


NPI Information

NPI: 1659046498
Provider Name: BLUE CONCIERGE MEDICINE LLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 10D2297538

Address:
700 2ND AVE N STE 305
NAPLES, FL
ZIP 34102
Phone: (239) 610-1230
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BLUE CONCIERGE MEDICINE LLC is an emergency medicine in Naples, FL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. BLUE CONCIERGE MEDICINE LLC NPI is 1659046498. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

700 2ND AVE N STE 305
NAPLES, FL
ZIP 34102-702
Phone: (239) 610-1230

The provider's authorized official is Rebecca Miknaitis .
The authorized official title is Do and has the following contact phone number (239) 610-1230.

The CLIA number assigned to this NPI record is 10D2297538 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2021 and was last updated on 8/13/2021.


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
1207P00000XEmergency MedicineYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.