Jose Concha
COASTAL FOOT AND ANKLE WELLNESS CENTER LLC


Address: 200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129
Phone: 9048261900

Jose Concha (NPI# 1992742142, PAC ID# 5799820213) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.

Physician Overview

Nation Provider ID (NPI) 1992742142
PAC ID by PECOS 5799820213
Professional Enrollment ID I20100320000263
Full Name Jose Concha
Organization Legal Name COASTAL FOOT AND ANKLE WELLNESS CENTER LLC
Address 200 Southpark Blvd
Suite 208
St Augustine
FL 32086-3129
Phone Number 9048261900
Gender M
Medical School TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1996
Primary Specialty PODIATRY
Group Practice PAC ID 9537204151
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
3805 Crill Ave, Palatka, FL 32177-9170 3863281122 COASTAL FOOT AND ANKLE WELLNESS CENTER LLC
200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129 9048261900 COASTAL FOOT AND ANKLE WELLNESS CENTER LLC

Organization Information

Organization Legal Name COASTAL FOOT AND ANKLE WELLNESS CENTER LLC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Richard W Johnson Podiatry Coastal Foot and Ankle Wellness Center LLC 200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129

Office Location

Street Address 200 SOUTHPARK BLVD
SUITE 208
City ST AUGUSTINE
State FL
Zip 32086-3129

Physicians in the same location

Name Specialty Organization Address
Alexandra Gabrielle Feuer Physician Assistant Leavitt Medical Associates of Florida Inc 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129
James Bernard Dermatology Leavitt Medical Associates of Florida Inc 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129
Richard W Johnson Podiatry Coastal Foot and Ankle Wellness Center LLC 200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129
Josep Genebriera-de Lamo Dermatology Leavitt Medical Associates of Florida Inc 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129

Physicians in the same zip code

Name Specialty Organization Address
Dana D Reynolds Nurse Practitioner First City Hospitalists Group Pllc 3 Rd, St Augustine, FL 32086
David C Lomaglio Physical Therapy Saint Augustine Rehabilitation Specialists LLC 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251
Judith L Nichols Nurse Practitioner St Augustine Primary Care P L 105 Mariner Health Way, Suite 203, St Augustine, FL 32086-3251
Andrew Raymond Schreiner Physical Therapy Saint Augustine Rehabilitation Specialists LLC 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251
Hyacinth Wallace Physical Therapy Saint Augustine Rehabilitation Specialists LLC 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251
Sarah Lia Braddock Physical Therapy Saint Augustine Rehabilitation Specialists LLC 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251
Jessica P Schreiner Physical Therapy Saint Augustine Rehabilitation Specialists LLC 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251
Melanie Lomaglio Physical Therapy Saint Augustine Rehabilitation Specialists LLC 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251
Victoria Martin Occupational Therapy Saint Augustine Rehabilitation Specialists LLC 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251
Tayler Rayanna Adams Physical Therapy Saint Augustine Rehabilitation Specialists LLC 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251
Find all physicians in zip 32086

Competitor

Search similar physicians

City ST AUGUSTINE
Zip Code 32086
Specialty PODIATRY
City + Specialty ST AUGUSTINE + PODIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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