Organization
MERIDIAN CONCIERGE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOUSA ISSA ALYAN MA (OWNER)
(941) 445-0920
Entity
Organization
Contact information
Practice address
1262 N PALM AVE, SARASOTA, FL 34236-5604
(941) 445-0920
(941) 248-0793
Mailing address
468 QUAY CMNS UNIT 1104, SARASOTA, FL 34236-1622
(941) 445-0920
(941) 248-0793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/18/2026
Last updated
07/18/2026
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