Organization
ONSITE CONCIERGE MEDICINE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNANDO LEVAR GANT (PRESIDENT/OWNER)
(704) 258-7118
Entity
Organization
Contact information
Practice address
8773 PERIMETER PARK CT, JACKSONVILLE, FL 32216-1165
(704) 258-7118
Mailing address
12403 CADLEY CIR, JACKSONVILLE, FL 32219-1862
(704) 258-7118
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/04/2020
Last updated
04/04/2020
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