Provider Demographics
NPI:1407736887
Name:APOLLO BEACH CONCIERGE
Entity type:Organization
Organization Name:APOLLO BEACH CONCIERGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARNP/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BEVAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, FNP, ARNP-C AUT
Authorized Official - Phone:813-528-3434
Mailing Address - Street 1:235 APOLLO BEACH BLVD # 123
Mailing Address - Street 2:
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-2251
Mailing Address - Country:US
Mailing Address - Phone:813-528-3434
Mailing Address - Fax:813-762-1746
Practice Address - Street 1:802 GOLF ISLAND DR
Practice Address - Street 2:
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-2780
Practice Address - Country:US
Practice Address - Phone:813-528-3434
Practice Address - Fax:813-762-1746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty