# EASTCOAST MEDICAL NETWORK INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Medical Concierge
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710525316
- **Authorized official:** MELISSA J STAFFELLI (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (407) 648-5252

## Contact information

- **Practice address:** 6000 TURKEY LAKE RD STE 208, ORLANDO, FL 32819-4206
- **Practice address phone:** (407) 648-5252
- **Practice address fax:** (407) 370-4126
- **Mailing address:** 6000 TURKEY LAKE RD STE 209, ORLANDO, FL 32819-4206
- **Mailing address phone:** (407) 648-5252
- **Mailing address fax:** (407) 370-4126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2019
- **Last updated:** 12/13/2019