Healthcare Provider Details

I. General information

NPI: 1861069593
Provider Name (Legal Business Name): BEYOND CONCIERGE MEDICAL CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2021
Last Update Date: 06/10/2021
Certification Date: 06/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 2ND AVE N STE 305
NAPLES FL
34102-5702
US

IV. Provider business mailing address

700 2ND AVE N STE 305
NAPLES FL
34102-5702
US

V. Phone/Fax

Practice location:
  • Phone: 239-431-6873
  • Fax: 833-974-1494
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LINDA LUCOMBE
Title or Position: CEO
Credential: MD
Phone: 239-421-4873