Organization
OTTO C CONCEPCION,MD.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OTTO CESAR CONCEPCION M.D (PRESIDENT)
(786) 230-9980
Entity
Organization
Contact information
Practice address
6081 W 24TH AVE, APT 106, HIALEAH, FL 33016-6945
(646) 641-5513
Mailing address
6081 W 24TH AVE, APT 106, HIALEAH, FL 33016-6945
(786) 230-9980
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
ME 103235
FL
Other
Enumeration date
11/02/2009
Last updated
01/17/2010
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