NPI | 1295386571 |
---|---|
Former Legal Business Name | SHANNON M MITCHELL |
Other Name | CONCIERGE PROMED INC |
Doing Business As | SHANNON M MITCHELL |
Entity Type | Organization |
Authorized Contact | SHANNON MAE MITCHELL CEO 561-789-7771 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261Q00000X Clinic/Center |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2019-09-26 |
Last Update Date | 2024-05-09 |