Organization · NPI-2

All Care Concierge Medicine LLC

Clinic/Center, Primary Care · Coral Gables, FL

NPI number1073362299

StatusActive

Last updated in NPPESMay 20, 2024

Details

NPI: 1073362299
Entity type: Organization (NPI-2)
Legal business name: All Care Concierge Medicine LLC
Organization subpart: No
Enumeration date: May 20, 2024
Certification date: May 20, 2024
Last updated: May 20, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QP2300X	Clinic/Center, Primary Care	–	–	Yes
101YM0800X	Counselor, Mental Health	–	–
261Q00000X	Clinic/Center	–	–
261QH0100X	Clinic/Center, Health Services	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–
261QR1100X	Clinic/Center, Research	–	–

Practice location

4611 Sw 3rd St
Coral Gables, FL 33134-1599

Phone 786-548-2219

Mailing address

4611 Sw 3rd St
Coral Gables, FL 33134-1599

Authorized official

Juan Carlos Gonzalez
Ceo/President
7862098966

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