Agnila, Concepcion Latoza

Agnila, Concepcion Latoza is an individual health care provider with primary practice located at 10475 Centurion Pkwy N , Jacksonville FL 32256-5003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Agnila, Concepcion Latoza can be contacted via phone (904) 450-8090.

Contact Information

Primary practice address
10475 Centurion Pkwy N Jacksonville FL 32256-5003
Phone: (904) 450-8090
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME119597 Florida

Profile Details

NPI number 1104118686
LBN Legal business name Agnila, Concepcion Latoza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2011
Last updated Mar 8th, 2018 - about 8 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 1104118686 NPPES
Florida MEDICAID 012348500
Florida Other 14U8K

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