Sostre Concepcion, Vicdia L

Sostre Concepcion, Vicdia L is an individual health care provider with primary practice located at 2181 Orange Ave E , Tallahassee FL 32311-6144. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Sostre Concepcion, Vicdia L can be contacted via phone (352) 548-6000.

Contact Information

Primary practice address
2181 Orange Ave E Tallahassee FL 32311-6144
Phone: (352) 548-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN717 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X 16752 Puerto Rico

Profile Details

NPI number 1205026291
LBN Legal business name Sostre Concepcion, Vicdia L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Feb 21st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205026291 NPPES
Florida MEDICAID 016161600

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