# CONCIERGE PRIMARY CARE LLC

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

## Provider details

- **NPI number:** 1760009138
- **Authorized official:** TIFFANY WILLIAMSON APRN (SOLE PROPRIETOR)
- **Authorized official phone:** (954) 501-3861

## Contact information

- **Practice address:** 9500 NW 49TH CT, CORAL SPRINGS, FL 33076-2465
- **Practice address phone:** (954) 501-3861
- **Practice address fax:** (608) 305-8874
- **Mailing address:** 7050 W PALMETTO PARK RD \# 15-513, BOCA RATON, FL 33433-3426
- **Mailing address phone:** (954) 501-3861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2020
- **Last updated:** 02/10/2022