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Organization
MARIA NINA CONCEPCION MD PA
Active
Organization
MARIA NINA CONCEPCION MD PA
Active
Other names
Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA NINA CONCEPCION M.D. (OWNER)
(863) 422-1400
Entity
Organization
Contact information
Practice address
2302 NORTH BLVD., SUITE D, DAVENPORT, FL 33837
(863) 422-1400
(863) 419-7935
Mailing address
PO BOX 3068, DAVENPORT, FL 33836-3068
(863) 422-1400
(863) 419-7935
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME102084
FL
Other
Enumeration date
08/12/2008
Last updated
12/22/2008
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