Healthcare Provider Details

I. General information

NPI: 1255262879
Provider Name (Legal Business Name): CONCIERGE INTERNAL MEDICINE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 UNIVERSITY BLVD STE 104 STE 104
JUPITER FL
33458-2778
US

IV. Provider business mailing address

600 UNIVERSITY BLVD STE 104 STE 104
JUPITER FL
33458-2778
US

V. Phone/Fax

Practice location:
  • Phone: 561-331-1996
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL BOSS
Title or Position: CEO
Credential: MD
Phone: 561-748-1888