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General NPI Number Information
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NPI Number | 1003798703
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Entity Type | Organization
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Legal Business Name | CONCIERGE MEDICINE OF SOUTH FLORIDA PLLC
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 951 NW 13TH ST STE 3F
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City | BOCA RATON
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State | FL
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Zip | 33486-2359
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Country | US
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Telephone | 786-543-4194
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Fax | 833-760-0885
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Provider Business Mailing Address
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Address Line | 2940 NE 39TH CT
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City | LIGHTHOUSE POINT
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State | FL
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Zip | 33064-8454
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Country | US
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Telephone | 786-543-4194
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Fax | 833-760-0885
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | STEPHANIE KHOURY
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Credential |
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Telephone | 786-543-4194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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