Individual
DR. LUIS VICENTE CONCEPCION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
16555 NW 25TH AVE, MIAMI GARDENS, FL 33054-6583
(786) 466-1736
Mailing address
16555 NW 25TH AVE, MIAMI GARDENS, FL 33054-6583
(786) 466-1736
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS6876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254606000
—
FL
Enumeration date
06/08/2006
Last updated
11/29/2016
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