Organization
CONCIERGE PEDIATRICS FL LLC
Active
Other names
Concierge Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CIBRAN (PARTNER)
(727) 688-8515
Entity
Organization
Contact information
Practice address
410 W 41ST STREET, UNIT 406, MIAMI BEACH, FL 33140-3314
(305) 239-3119
Mailing address
2115 CENTRAL AVE, ST PETERSBURG, FL 33713-8815
(727) 688-8515
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NONE
—
Enumeration date
02/15/2023
Last updated
02/15/2023
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