Concierge Care of Florida LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

CONCIERGE CARE OF FLORIDA LLC

Practice address

3800 Hillcrest Dr Apt 1001
Hollywood, FL 33021-7939

Phone

(954) 235-5443

Fax

(407) 698-5751

NPI assigned

Dec 18, 2019

Last updated

Dec 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Marina Glaskin

Title

Owner

Phone

(954) 235-5443

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Biagio V Vultaggio, MD

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1396836706
  Medicare reassignment NPD

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1225676455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HILLCREST DR APT 1001",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217939",
            "telephone_number": "954-235-5443",
            "fax_number": "407-698-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HILLCREST DR APT 1001",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217939",
            "telephone_number": "954-235-5443",
            "fax_number": "407-698-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE CARE OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "GLASKIN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-235-5443"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Comprehensive Health & Wellness Center, P.a.
• Anthony Concepcion
• Isabel Maria Conesa Gonzalez
• Lakisha Denise Coney, ARNP
• Connections Addiction Treatment Center, LLC
• Sally Conner, M.S.P.T.
• Alexandra Larissa Connor

• Medical Specialty Clinic/Center in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.