| Concierge Care Of Tampa Bay, Llc | |
|
510 Vonderburg Dr. Suite 213 Brandon FL 33511-5118 | |
| (813) 685-2191 | |
| (813) 689-8755 |
| Full Name | Concierge Care Of Tampa Bay, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 510 Vonderburg Dr., Brandon, Florida |
| Authorized Official Name and Position | Chris Nussbaum (PHYSICIAN) |
| Authorized Official Contact | 8136892961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Concierge Care Of Tampa Bay, Llc 500 Vonderburg Dr Ste 214 Brandon FL 33511-5969 Ph: (813) 685-2191 | Concierge Care Of Tampa Bay, Llc 510 Vonderburg Dr. Suite 213 Brandon FL 33511-5118 Ph: (813) 685-2191 |
| NPI Number | 1245589555 |
|---|---|
| Provider Enumeration Date | 08/31/2012 |
| Last Update Date | 04/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245589555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME49552 (Florida) | Primary |
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