Individual
DR. CONCEPCION BARRETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 RUBY AVE STE A, KISSIMMEE, FL 34741-5698
(407) 933-1847
(407) 933-1849
Mailing address
1178 PINEAPPLE WAY, KISSIMMEE, FL 34741-6705
(787) 567-7805
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
7932
PR
208D00000X
General Practice Physician
7932
PR
208D00000X
General Practice Physician
ACN738
FL
251S00000X
Community/Behavioral Health Agency
7932
FL
251S00000X
Community/Behavioral Health Agency
7932
PR
251S00000X
Community/Behavioral Health Agency
ACN738
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
7932
PR
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
ACN738
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACN738
MEDICAL LICENSE
FL
Enumeration date
02/28/2007
Last updated
07/21/2022
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