Healthcare Provider Details

I. General information

NPI: 1700796505
Provider Name (Legal Business Name): FLORIDA BIOIDENTICAL HORMONE AND TELEHEALTH INTERNAL MEDICINE , P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27081 FLAMINGO DR
BONITA SPRINGS FL
34135-4453
US

IV. Provider business mailing address

27081 FLAMINGO DR
BONITA SPRINGS FL
34135-4453
US

V. Phone/Fax

Practice location:
  • Phone: 239-821-2106
  • Fax:
Mailing address:
  • Phone: 239-821-2106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ALBERTO R CONCEPCION
Title or Position: MEDICAL DOCTOR
Credential: M.D
Phone: 239-821-2106