Polk Concierge Medical Group, Llc

LBN: Polk Concierge Medical Group, Llc
Polk Concierge Medical Group, Llc is an health care organization with primary practice located at 304 E Pine St # 1143 , Lakeland FL 33801-4969. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. Polk Concierge Medical Group, Llc can be contacted via phone (863) 339-2025, or through Standifer, Asia M via phone (352) 807-2197.

Contact Information

Primary practice address
304 E Pine St # 1143 Lakeland FL 33801-4969
Phone: (863) 339-2025
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Standifer, Asia M Advanced Practice Registered Nurse (APRN)
Phone: (352) 807-2197

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1235824640
LBN Legal business name Polk Concierge Medical Group, Llc
DBA Doing business as
Authorized official Standifer, Asia M Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2023
Last updated Apr 11th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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