# CONCIERGE AESTHETICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Florida Anesthesia Consultants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619350964
- **Authorized official:** DR. DANIEL BORMAN M.D. (OWNER)
- **Authorized official phone:** (847) 894-1127

## Contact information

- **Practice address:** 511 SE 5TH AVE, SUITE 1901, FORT LAUDERDALE, FL 33301-2984
- **Practice address phone:** (847) 894-1127
- **Mailing address:** 511 SE 5TH AVE, SUITE 1901, FORT LAUDERDALE, FL 33301-2984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | ME124453 | FL | Yes |

## Other

- **Enumeration date:** 07/06/2015
- **Last updated:** 07/06/2015