Maria Nina Concepcion MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME102084 Issued in FL

Legal business name

MARIA NINA CONCEPCION MD PA

Doing business as

Family Care

Practice address

2302 North Blvd.
Suite D
Davenport, FL 33837

Phone

(863) 422-1400

Fax

(863) 419-7935

NPI assigned

Aug 12, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Maria Nina Concepcion, M.D.NPI 1164687133

Title

Owner

Phone

(863) 422-1400

Specialties & licenses 1

Addresses

Other names 1

• Family Care Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Nina Concepcion, M.D.

  • Family Medicine Physician
  • Davenport, FL
  • NPI 1164687133
  Medicare reassignment Authorized official
• Phomello P Chinheya, APRN

  • Primary Care Nurse Practitioner
  • Haines City, FL
  • NPI 1205460367
  Medicare reassignment NPD
• Retta Beverly Skinner

  • Adult Health Nurse Practitioner
  • Davenport, FL
  • NPI 1568852267
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1184870016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3068",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338363068",
            "telephone_number": "863-422-1400",
            "fax_number": "863-419-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 NORTH BLVD.",
            "address_2": "SUITE D",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "33837",
            "telephone_number": "863-422-1400",
            "fax_number": "863-419-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA NINA CONCEPCION MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "CONCEPCION",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "NINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-422-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME102084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manaswi's Orthopedic and Joint Replacement Institute PLLC
• India Mancuso, PA
• Claudio Manubens, M.D.
• Daniel Mar Chong, A.T.C
• Amanda Marciano, PHARM.D.
• Alexa Maria Marino, BSN, RN
• Miguel Marquez
• Luis Marrero
• Enrique Rafael Martinez Lugo, MD
• Minely Martinez Velazquez, MD

• Family Medicine Physician in Davenport, FL
• Providers in Davenport, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.