# FLORIDA CONCIERGE MEDICINE & WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013585868
- **Authorized official:** DR. GERARD FRANTZ ACLOQUE JR. MD (OWNER)
- **Authorized official phone:** (954) 932-3269

## Contact information

- **Practice address:** 5555 HOLLYWOOD BLVD STE 201, HOLLYWOOD, FL 33021-6420
- **Practice address phone:** (954) 932-3269
- **Practice address fax:** (954) 361-7994
- **Mailing address:** 5555 HOLLYWOOD BLVD STE 201, HOLLYWOOD, FL 33021-6420
- **Mailing address phone:** (954) 932-3269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/16/2021
- **Last updated:** 01/22/2024