Jose M Concha in St Augustine - Podiatrist

Jose M Concha - NPI 1992742142

Jose M Concha is a Podiatrist in St Augustine, Florida. Jose M Concha practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Jose M Concha is 1992742142. The last update date is 2010-01-27.

Jose M Concha's current location address is 200 Southpark Blvd, St Augustine, Florida. You can contact this provider via phone number 9048261900 and fax number 9048261920. The mailing address for Jose M Concha is 200 Southpark Blvd, St Augustine, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Jose M Concha
Address 200 Southpark Blvd, St Augustine, Florida
Phone Number 9048261900
Fax Number 9048261920
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1992742142
Provider Enumeration Date 2006-05-31
Last Updated Date 2010-01-27

Provider Mailing Address Detail

Address 200 Southpark Blvd
City St Augustine
State Florida (FL)
Post Code 320863129
Phone Number 9048261900
Fax Number 9048261920

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No PO2712
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
340245200 FL --

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FAQs about Jose M Concha

What is the unique 10-digit identifier code assigned to Jose M Concha by the Centers for Medicare & Medicaid Services?

The Jose M Concha has been issued the NPI (National Provider Identifier) 1992742142 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Jose M Concha is physically located?

The Jose M Concha is situated at the following address: 200 Southpark Blvd, St Augustine, FL 320863129.

What is Jose M Concha's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jose M Concha is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.

When was the Jose M Concha's 1992742142 issued?

The Jose M Concha's 1992742142 was issued on 2006-05-31.

As of what date was the information pertaining to Jose M Concha, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jose M Concha, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-01-27.

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