DR. RENATO CONCEPCION (NPI# 1962480715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962480715 |
| Entity Type | Individual |
| Full Name | DR. RENATO CONCEPCION |
| Credential | M.D. |
| Practice Address |
8960 Colonial Center Dr Suite 302 Fort Myers FL 33905 |
| Mailing Address |
P.o. Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393439686 |
| Practice Fax Number | 2393439687 |
| Mailing Telephone | 2393436456 |
| Mailing Fax Number | 2393439681 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
ME0073459 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS/BLUE SHIELD | 43696 | 01 |
| FL | 255236100 | 05 | |
| FL | TAX ID | 593551137 | 01 |
| FL | AMERIGROUP | 211104 | 01 |
| FL | AETNA | 5958648 | 01 |
| FL | AVMED | 237994 | 01 |
| Street Address |
8960 COLONIAL CENTER DR SUITE 302 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982045316 | Sherry Farag | Family Medicine | 8960 Colonial Center Dr, Suite 300, Fort Myers, FL 33905 | 2013-07-14 |
| 1497046569 | Heitham Kamel Ajlouni | Internal Medicine | 8960 Colonial Center Dr, Suite 202, Fort Myers, FL 33905 | 2011-04-25 |
| 1376869305 | Dawn Duchesne Stoner | Nurse Practitioner | 8960 Colonial Center Dr, Suite 302, Fort Myers, FL 33905-7810 | 2010-04-15 |
| 1487980686 | Donna Marie Lanthier | Physical Medicine & Rehabilitation | 8960 Colonial Center Dr, Suite 210, Fort Myers, FL 33905-7810 | 2009-10-22 |
| 1972733350 | Amanda Lynn White | Nurse Practitioner | 8960 Colonial Center Dr, #300, Fort Myers, FL 33905-7810 | 2009-07-21 |
| 1205083276 | Matxalen Amezaga Urruela | Internal Medicine | 8960 Colonial Center Dr, Suite 302, Fort Myers, FL 33905 | 2008-08-21 |
| 1639344914 | Mikhailia Wanakee Lake | Internal Medicine | 8960 Colonial Center Dr, Suite 302, Fort Myers, FL 33905-7810 | 2008-04-28 |
| 1427235399 | Lolita Winifred Melhado | Nurse Practitioner | 8960 Colonial Center Dr, Suite 206, Fort Myers, FL 33905-7810 | 2008-01-23 |
| 1699976993 | Thinn Hlaing | Internal Medicine | 8960 Colonial Center Dr, Suite 302, Fort Myers, FL 33905-7810 | 2007-05-31 |
| 1841491933 | Patricia Lima Sareh | Internal Medicine | 8960 Colonial Center Dr, Suite 302, Fort Myers, FL 33905-7810 | 2007-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811476211 | Lisa Nicole Campbell | Nurse Practitioner | 2850 Via Campania St, Fort Myers, FL 33905 | 2018-08-07 |
| 1538670260 | Doctorguarin LLC | Clinic/Center | 3143 Antica St, Fort Myers, FL 33905 | 2017-10-20 |
| 1366828931 | Dawn Bradley Arnp Pllc | Nurse Practitioner | 3056 Champion Ring Rd, Ft Myers, FL 33905 | 2015-08-06 |
| 1720480551 | Yohana Pierre Villarroel | Licensed Practical Nurse | 2789 Ortiz Ave., Fort Myers, FL 33905 | 2014-09-24 |
| 1639592090 | Hamprenate Service | Case Manager/Care Coordinator | 2789 Oritz Avenue, Fort Myere, FL 33905 | 2014-01-21 |
| 1255688743 | Ronak B Patel | Pharmacist | 9365 Via Murano Ct, Fort Myers, FL 33905 | 2012-08-14 |
| 1477824852 | Joseph Francis Kusiak | Plastic Surgery | 3320 Shady Bend, Fort Myers, FL 33905 | 2012-01-18 |
| 1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
| 1790898666 | Access Medical South, Lc | Durable Medical Equipment & Medical Supplies | 5701 Country Lakes Dr., Suite 20, Ft. Myers, FL 33905 | 2006-08-16 |
| 1780691600 | Arthur Lee Strauss | Social Worker | 6000 South Dixie Hwy, Suite B, West Palm Beach, FL 33905 | 2006-08-02 |
| Find all providers in zip 33905 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811122880 | Millennium Physician Group LLC | Internal Medicine | 6321 Daniels Pkwy, Fort Myers, FL 33912-4773 | 2009-05-20 |
| 1376583294 | Manuel A. Pardo | Internal Medicine | 42 Barkley Cir, Suite, 2, Fort Myers, FL 33907-4543 | 2006-06-08 |
| 1861883712 | Manuel A. Pardo, M.d. | Internal Medicine | 42 Barkley Cir, Suite # 2, Fort Myers, FL 33907-4543 | 2015-02-13 |
| 1275971764 | Millennium Physician Group LLC | Internal Medicine | 6321 Daniels Pkwy, Ste 201, Fort Myers, FL 33912-4773 | 2013-06-06 |
| 1407142664 | Francisco Jose Perez Mata | Internal Medicine | 13813 Metro Pkwy, Fort Myers, FL 33912-4343 | 2011-06-24 |
| 1497046569 | Heitham Kamel Ajlouni | Internal Medicine | 8960 Colonial Center Dr, Suite 202, Fort Myers, FL 33905 | 2011-04-25 |
| 1073511846 | Richard J Weiss | Internal Medicine | 13813 Metro Pkwy, Fort Myers, FL 33912-4343 | 2005-07-14 |
| 1013915024 | Sergio R Mather | Internal Medicine | 13813 Metro Pkwy, Fort Myers, FL 33912-4343 | 2005-07-13 |
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|---|---|---|---|---|
| 1922612886 | The Sugar Doctors LLC | Internal Medicine | 423 Highway 466 Apt 8206, Lady Lake, FL 32159-6307 | 2020-09-08 |
| 1144848292 | Olga Kaliebe Md LLC | Internal Medicine | 2823 W Fountain Blvd, Tampa, FL 33609-4011 | 2020-07-06 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1346873015 | Chrysalis Health of Florida P.a. | Internal Medicine | 382 Ne 191st St # 52404, Miami, FL 33179-3899 | 2020-02-20 |
| 1598300741 | Center for Integrative & Functional Endocrinology LLC | Internal Medicine | 17900 Nw 5th St Ste 202, Pembroke Pines, FL 33029-2809 | 2019-11-12 |
| 1346801834 | Medical Centers of Miami LLC | Internal Medicine | 6600 Cow Pen Rd Ste 100, Miami Lakes, FL 33014-7618 | 2019-06-25 |
| 1013402783 | Thyroid Diabetes Endocrinology and Wellness Inc | Internal Medicine | 8075 Gate Pkwy W Ste 306, Jacksonville, FL 32216-3685 | 2018-06-26 |
| 1447750773 | Smh Physician Services Inc | Internal Medicine | 1370 E Venice Ave Ste 209, Venice, FL 34285-9084 | 2018-02-13 |
| 1376087593 | Dar Endocrinology Services LLC | Internal Medicine | 100 Buenaventura Blvd Ste 102, Kissimmee, FL 34743-4513 | 2016-12-07 |
| 1073064127 | Tampa General Medical Group Inc | Internal Medicine | 10740 Palm River Road, Ste 360, Tampa, FL 33619 | 2016-10-24 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33905 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.