MEDICARE: CONCIERGE INTERNAL MEDICINE ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1255262879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONCIERGE INTERNAL MEDICINE ASSOCIATES

Provider Business Mailing Address
First Line	:	600 UNIVERSITY BLVD STE 104
Second Line	:	STE 104
City	:	JUPITER
State	:	FL
Zip	:	33458-2778
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 UNIVERSITY BLVD STE 104
Second Line	:	STE 104
City	:	JUPITER
State	:	FL
Zip	:	33458-2778
Country	:	US
Telephone Number	:	561-331-1996
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DANIEL BOSS
Credential	:	MD
Telephone Number	:	561-748-1888

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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