Concierge Pediatrics FL LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CONCIERGE PEDIATRICS FL LLC

Practice address

410 W 41St Street
Unit 406
Miami Beach, FL 33140-3314

Phone

(305) 239-3119

NPI assigned

Feb 15, 2023

Organization subpart

No

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

Authorized official

Name

Michael Cibran

Title

Partner

Phone

(727) 688-8515

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Concierge Pediatrics Doing business as

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1992402341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138815",
            "telephone_number": "727-688-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W 41ST STREET",
            "address_2": "UNIT 406",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403314",
            "telephone_number": "305-239-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE PEDIATRICS FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "CIBRAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "727-688-8515"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concierge Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatrics Physician in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.