Dr JOSE CONCHA is a male medical professional, specializing in Podiatry. He graduated in 1996 from Temple University School Of Medicine.
COASTAL FOOT AND ANKLE WELLNESS CENTER LLC
200 SOUTHPARK BLVD
SUITE 208
SAINT AUGUSTINE
FL
320863129
Tel: 9048261900
| Npi | 1992742142 |
| Pac Id | 5799820213 |
| Professional Enrollment Id | I20100320000263 |
| Last Name | CONCHA |
| First Name | JOSE |
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| Gender | M |
| Credential | |
| Medical School Name | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | PODIATRY |
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| Organization Legal Name | COASTAL FOOT AND ANKLE WELLNESS CENTER LLC |
| Group Practice Pac Id | 9537204151 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 200 SOUTHPARK BLVD |
| Line 2 Street Address | SUITE 208 |
| Marker Of Address Line 2 Suppression | |
| City | SAINT AUGUSTINE |
| State | FL |
| Zip Code | 320863129 |
| Phone Number | 9048261900 |
| Hospital Affiliation Ccn 1 | 100232 |
| Hospital Affiliation Lbn 1 | PUTNAM COMMUNITY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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