Provider Demographics
NPI:1346069325
Name:CONCIERGE MEDICINE OF BOCA RATON, PLLC
Entity type:Organization
Organization Name:CONCIERGE MEDICINE OF BOCA RATON, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICKETT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:561-961-3005
Mailing Address - Street 1:825 MEADOWS RD STE 111
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2347
Mailing Address - Country:US
Mailing Address - Phone:561-961-3005
Mailing Address - Fax:561-954-0020
Practice Address - Street 1:825 MEADOWS RD STE 111
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2347
Practice Address - Country:US
Practice Address - Phone:561-961-3005
Practice Address - Fax:561-954-0020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty