Stephanie Concepcion, M.D.

General Practice Physician · Orange Park, FL

Individual Active NPI

NPI number 1114137510

Practice location

1542 Kingsley Ave Ste 146
Orange Park, FL 32073-4547
Phone
(904) 269-2990

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NPI record

NPI
1114137510
Entity type
Individual (Type 1)
Enumeration date
May 23, 2007
Last updated
June 15, 2023
Certified
June 15, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X ACN1522 FL
General Practice Physician 208D00000X 12720 PR

Mailing address

2460 Old Moultrie Rd Ste 1
St Augustine, FL 32086-4198

About Dr. Concepcion

Stephanie Concepcion, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 1542 Kingsley Ave Ste 146, Orange Park, FL 32073-4547. The NPI number 1114137510 was assigned on May 23, 2007 and the record was last updated on June 15, 2023.

Dr. Concepcion lists 2 licenses in the registry: #ACN1522 (FL) for General Practice Physician; #12720 (PR) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephanie Concepcion, M.D.?

The NPI number is 1114137510.

What is the phone number of Dr. Concepcion?

The phone number listed for the practice location is (904) 269-2990.

Where is Dr. Concepcion located?

1542 Kingsley Ave Ste 146, Orange Park, FL 32073-4547.

What is the taxonomy code for Dr. Concepcion?

The primary taxonomy code is 208D00000X – General Practice Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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