Healthcare Provider Details

I. General information

NPI: 1457684326
Provider Name (Legal Business Name): MEDICAL CONCIERGE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2009
Last Update Date: 09/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1219 TWIN CONE CT
ORLANDO FL
32822-8178
US

IV. Provider business mailing address

PO BOX 4546
ORLANDO FL
32802-4546
US

V. Phone/Fax

Practice location:
  • Phone: 407-898-1213
  • Fax: 407-898-1214
Mailing address:
  • Phone: 407-898-1213
  • Fax: 407-898-1214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: MS. CATHERINE ELIZABETH MCCARTHY
Title or Position: PRESIDENT
Credential:
Phone: 407-898-1213