Provider Demographics
NPI:1457032617
Name:THE MEDICAL CONCIERGE OF ORLANDO LLC
Entity type:Organization
Organization Name:THE MEDICAL CONCIERGE OF ORLANDO LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:754-246-3196
Mailing Address - Street 1:1353 ALOMA AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-3919
Mailing Address - Country:US
Mailing Address - Phone:754-246-3196
Mailing Address - Fax:
Practice Address - Street 1:1201 S ORLANDO AVE
Practice Address - Street 2:SUITE 132
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-6424
Practice Address - Country:US
Practice Address - Phone:407-663-7447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care