Provider Demographics
NPI:1861069593
Name:BEYOND CONCIERGE MEDICAL CARE, LLC
Entity type:Organization
Organization Name:BEYOND CONCIERGE MEDICAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCOMBE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-421-4873
Mailing Address - Street 1:700 2ND AVE N STE 305
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5702
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:700 2ND AVE N STE 305
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5702
Practice Address - Country:US
Practice Address - Phone:239-431-6873
Practice Address - Fax:833-974-1494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty