| Kind Concierge Care, Pllc | |
|
141 Holly Berry Ln Saint Johns FL 32259-8897 | |
| (904) 629-7686 | |
| (904) 595-8602 |
| Full Name | Kind Concierge Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 141 Holly Berry Ln, Saint Johns, Florida |
| Authorized Official Name and Position | Robert L Griffin (PRESIDENT) |
| Authorized Official Contact | 9046297686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kind Concierge Care, Pllc 141 Holly Berry Ln Saint Johns FL 32259-8897 Ph: (904) 629-7686 | Kind Concierge Care, Pllc 141 Holly Berry Ln Saint Johns FL 32259-8897 Ph: (904) 629-7686 |
| NPI Number | 1730894023 |
|---|---|
| Provider Enumeration Date | 01/20/2023 |
| Last Update Date | 01/25/2023 |
| Medicare PECOS PAC ID | 4880067701 |
|---|---|
| Medicare Enrollment ID | O20230223002304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730894023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert L Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629008073 PECOS PAC ID: 4385642453 Enrollment ID: I20061128000255 |
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