Provider Demographics
NPI:1316762891
Name:CONCIERGE CARE NAPLES LLC
Entity type:Organization
Organization Name:CONCIERGE CARE NAPLES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUPI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-610-1141
Mailing Address - Street 1:1265 CREEKSIDE PKWY STE 302
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-1955
Mailing Address - Country:US
Mailing Address - Phone:239-566-1577
Mailing Address - Fax:
Practice Address - Street 1:1265 CREEKSIDE PKWY STE 200
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-1954
Practice Address - Country:US
Practice Address - Phone:239-566-1577
Practice Address - Fax:239-513-9022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty