Healthcare Provider Details

I. General information

NPI: 1578479135
Provider Name (Legal Business Name): ANCHOR CONCIERGE MEDICINE, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 FOGARTY AVE
KEY WEST FL
33040-3809
US

IV. Provider business mailing address

2325 FOGARTY AVE
KEY WEST FL
33040-3809
US

V. Phone/Fax

Practice location:
  • Phone: 305-712-5970
  • Fax:
Mailing address:
  • Phone: 305-712-5970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: DAVID ADAM ANTHOU
Title or Position: MANAGING MEMBER
Credential: PA-C
Phone: 305-712-5970