Organization
CORE CONCIERGE HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KETEVAN LEO MD (OWNER)
(917) 753-4770
Entity
Organization
Contact information
Practice address
2550 S BAYSHORE DR STE 204, MIAMI, FL 33133-4743
(305) 210-2673
Mailing address
2550 S BAYSHORE DR STE 204, MIAMI, FL 33133-4743
(917) 753-4770
(786) 485-4932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
03/14/2024
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