IndividualActive
Stephanie Concepcion, M.D.
NPI 1114137510 · General Practice Physician · Orange Park, FL
Provider details
- NPI number
- 1114137510
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 12720 (PR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1542 Kingsley Ave Ste 146
Orange Park, FL 32073-4547
Phone: (904) 269-2990
Street-level locationGet directions
Mailing address
2460 Old Moultrie Rd Ste 1
St Augustine, FL 32086-4198
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2023-06-15
- Certified
- 2023-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.