Active NPI
Brandi Concolino
- Other Technician
- Orlando, FL
National Provider Identifier
1356057830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- EO2392
- Practice address
- 801 N Magnolia Ave Ste 403
Orlando, FL 32803-3844 - Phone
- (321) 800-2922
- NPI assigned
- Jan 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | EO2392 | FL | Primary |
Addresses
Primary practice location
801 N Magnolia Ave Ste 403
Orlando, FL 32803-3844
Mailing address
801 N Magnolia Ave Ste 403
Orlando, FL 32803-3844
Phone (321) 800-2922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EO2392 | Other | FL | DEPARTMENT OF HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EO2392 | FL | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1356057830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 N MAGNOLIA AVE STE 403",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328033844",
"telephone_number": "321-800-2922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N MAGNOLIA AVE STE 403",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328033844",
"telephone_number": "321-800-2922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONCOLINO",
"first_name": "BRANDI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-27",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "FL",
"license": "EO2392",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH",
"identifier": "EO2392",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.