Dr Stephanie Concepcion, MD | |
1542 Kingsley Ave Ste 146, Orange Park, FL 32073-4547 | |
(904) 269-2990 | |
Not Available |
Full Name | Dr Stephanie Concepcion |
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Gender | Female |
Speciality | General Practice |
Location | 1542 Kingsley Ave Ste 146, Orange Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114137510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 12720 (Puerto Rico) | Secondary |
208D00000X | General Practice | ACN1522 (Florida) | Primary |
Entity Name | Roy H Hinman Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649383845 PECOS PAC ID: 3173584174 Enrollment ID: O20041022000798 |
Entity Name | Island Doctors Intrastate Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568083889 PECOS PAC ID: 5395161186 Enrollment ID: O20200811001733 |
Mailing Address | Practice Location Address |
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Dr Stephanie Concepcion, MD 2460 Old Moultrie Rd Ste 1, St Augustine, FL 32086-4198 Ph: () - | Dr Stephanie Concepcion, MD 1542 Kingsley Ave Ste 146, Orange Park, FL 32073-4547 Ph: (904) 269-2990 |
Danisha Giselle Figueroa, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1536 Kingsley Ave Ste 118, Orange Park, FL 32073 Phone: 904-298-2113 Fax: 904-298-1922 | |
Alayna Sterchele, General Practice Medicare: Medicare Enrolled Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-2000 Fax: 904-639-2015 | |
Dr. Kerolos Abadeer, DO General Practice Medicare: Medicare Enrolled Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-622-9200 | |
Gautam Ganguly, General Practice Medicare: Medicare Enrolled Practice Location: 1542 Kingsley Ave Ste 146, Orange Park, FL 32073 Phone: 904-269-2990 |