Provider Demographics
NPI:1457684326
Name:MEDICAL CONCIERGE INC
Entity Type:Organization
Organization Name:MEDICAL CONCIERGE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-898-1213
Mailing Address - Street 1:PO BOX 4546
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32802-4546
Mailing Address - Country:US
Mailing Address - Phone:407-898-1213
Mailing Address - Fax:407-898-1214
Practice Address - Street 1:1219 TWIN CONE CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-8178
Practice Address - Country:US
Practice Address - Phone:407-898-1213
Practice Address - Fax:407-898-1214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty