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Organization

CONCIERGE CARE TAMPA BAY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRIS MICHAEL NUSSBAUM M.D. (PRESIDENT)
(813) 689-2961
Entity
Organization

Contact information

Practice address
510 VONDERBURG DR, SUITE 213, BRANDON, FL 33511-5954
(813) 689-2961
(813) 685-2348
Mailing address
510 VONDERBURG DR, SUITE 213, BRANDON, FL 33511-5954
(813) 689-2961
(813) 685-2348

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
49552
FL

Other

Enumeration date
04/09/2013
Last updated
04/09/2013
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