Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN11003310 | FL |
N | 363LA2200X | Nurse Practitioner - Adult Health | 11003310 | FL |
N | 363LC1500X | Nurse Practitioner - Community Health | 11003310 | FL |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 11003310 | FL |
N | 363LG0600X | Nurse Practitioner - Gerontology | 11003310 | FL |
N | 363LP0200X | Nurse Practitioner - Pediatrics | 11003310 | FL |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 11003310 | FL |
N | 363LP2300X | Nurse Practitioner - Primary Care | 11003310 | FL |
N | 363LS0200X | School | 11003310 | FL |
N | 363LX0106X | Nurse Practitioner - Occupational Health | 11003310 | FL |
NPI | 1477106136 |
---|---|
Provider Name | Orlando Concepcion |
First Address | Hialeah, FL 33010-6207 |
Second Address | Hialeah, FL 33010-6207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2019 |
Last Update Date | 01/06/2021 |