# RENATO CONCEPCION MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306960471
- **Authorized official:** LEILA CONCEPCION (VICE-PRES)
- **Authorized official phone:** (813) 936-7119

## Contact information

- **Practice address:** 3709 W HAMILTON AVE, SUITE 9, TAMPA, FL 33614-4015
- **Practice address phone:** (813) 936-7119
- **Practice address fax:** (813) 936-2317
- **Mailing address:** 3709 W HAMILTON AVE, SUITE 9, TAMPA, FL 33614-4015
- **Mailing address phone:** (813) 936-7119
- **Mailing address fax:** (813) 936-2317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 08/22/2020