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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