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Organization

CONCIERGENP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BETHANY LAQUELL ELLIS DNP-BC (OWNER/NURSE PRACTITIONERR)
(754) 444-9173
Entity
Organization

Contact information

Practice address
1001 N FEDERAL HWY STE 200, HALLANDALE BEACH, FL 33009-2416
(754) 444-9173
Mailing address
1001 N FEDERAL HWY STE 200, HALLANDALE BEACH, FL 33009-2416
(754) 444-9173
(786) 221-3179

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
09/03/2020
Last updated
04/28/2026
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