Organization
ALL CARE CONCIERGE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CARLOS GONZALEZ MD (CEO/PRESIDENT)
(786) 209-8966
Entity
Organization
Contact information
Practice address
4611 SW 3RD ST, CORAL GABLES, FL 33134-1599
(786) 548-2219
Mailing address
4611 SW 3RD ST, CORAL GABLES, FL 33134-1599
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR1100X
Research Clinic/Center
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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