Organization Active NPI

Concierge Medicine of South Florida PLLC

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1003798703
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CONCIERGE MEDICINE OF SOUTH FLORIDA PLLC
Practice address
951 NW 13TH St Ste 3F
Boca Raton, FL 33486-2359
Phone
(786) 543-4194
Fax
(833) 760-0885
NPI assigned
Jul 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephanie KhouryNPI 1043848435
Title
Physician/Owner
Phone
(786) 543-4194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

951 NW 13TH St Ste 3F
Boca Raton, FL 33486-2359

Mailing address

2940 NE 39TH CT
Lighthouse Point, FL 33064-8454
Phone (786) 543-4194

Other names 1

  • Primary Care of South Florida Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250822000117 FL Part B Supplier - Clinic/Group Practice 0244730414 Receives reassigned benefits from 2 practitioners
Practice locations: Boca Raton, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2330115Concierge Medicine of South Florida951 NW 13TH St, Suite 3F, Boca Raton, FL 33486Certificate of waiverSep 9, 2027

National Provider Directory

National Provider Directory

Locations

951 NW 13th St
Ste 3F
Boca Raton, FL 33486
Phone (561) 465-4008

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1003798703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 NE 39TH CT",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330648454",
            "telephone_number": "786-543-4194",
            "fax_number": "833-760-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 NW 13TH ST STE 3F",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862359",
            "telephone_number": "786-543-4194",
            "fax_number": "833-760-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE MEDICINE OF SOUTH FLORIDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "786-543-4194"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care of South Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.