| Doctor Name: | MANUEL FERNANDEZ-CONCEPCION |
| NPI Number: | 1285684753 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME85860 |
| Business Practice Address: | 1806 N Flamingo Rd Suite 440 Pembroke Pines, FL - 330281026 |
| Business Phone Number: | 9546200025 |
| Business Fax Number: | 9546200047 |
| Mailing Address: | 1806 N Flamingo Rd, Suite 440 PEMBROKE PINES |
| State: | FL |
| Postal Code: | 330281026 |
| Phone Number: | 9546200026 |
| Fax Number: | 9546200047 |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 08/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME85860 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |