Jose M. Concha, DPM

Podiatrist · St Augustine, FL

Individual Active NPI

NPI number 1992742142

Practice location

200 Southpark Blvd
Suite 208
St Augustine, FL 32086-3129
Phone
(904) 826-1900
Fax
(904) 826-1920

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NPI record

NPI
1992742142
Entity type
Individual (Type 1)
Enumeration date
May 31, 2006
Last updated
January 27, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Podiatrist Primary 213E00000X PO2712 FL

About Dr. Concha

Jose M. Concha, DPM is a healthcare provider registered in the NPI registry with the primary taxonomy Podiatrist (code 213E00000X). The practice location is 200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129. The NPI number 1992742142 was assigned on May 31, 2006 and the record was last updated on January 27, 2010.

Dr. Concha lists a license in the registry: #PO2712 (FL) for Podiatrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jose M. Concha, DPM?

The NPI number is 1992742142.

What is the phone number of Dr. Concha?

The phone number listed for the practice location is (904) 826-1900.

Where is Dr. Concha located?

200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129.

What is the taxonomy code for Dr. Concha?

The primary taxonomy code is 213E00000X – Podiatrist.

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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