Individual
ANTHONY CONCEPCION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1524 S 24TH AVE, HOLLYWOOD, FL 33020-6230
(954) 632-9932
Mailing address
1524 S 24TH AVE, HOLLYWOOD, FL 33020-6230
(954) 632-9932
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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