Organization
FLORIDA ANESTHESIA CONSULTANTS
Active
Organization
FLORIDA ANESTHESIA CONSULTANTS
Active
Parent organization
CONCIERGE AESTHETICS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONCIERGE AESTHETICS, LLC
Authorized official
DANIEL J BORMAN M.D. (OWNER/PHYSICIAN)
(847) 894-1127
Entity
Organization
Contact information
Practice address
511 SE 5TH AVE APT 1901, FORT LAUDERDALE, FL 33301-2978
(847) 894-1127
Mailing address
511 SE 5TH AVE APT 1901, FORT LAUDERDALE, FL 33301-2978
(847) 894-1127
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME124453
FL
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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