Individual
DR. STEPHANIE CONCEPCION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1542 KINGSLEY AVE STE 146, ORANGE PARK, FL 32073-4547
(904) 269-2990
Mailing address
2460 OLD MOULTRIE RD STE 1, ST AUGUSTINE, FL 32086-4198
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
12720
PR
208D00000X
General Practice Physician
Primary
ACN1522
FL
Other
Enumeration date
05/23/2007
Last updated
06/15/2023
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