Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104118686 Individual Practitioner Female Practitioner

Dr. Concepcion Latoza Agnila , MD

Pediatrics • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Concepcion Agnila, MD is a registered healthcare professional specializing in Pediatrics in Jacksonville, FL. Practice services are available at 10475 CENTURION PKWY N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10475 Centurion Pkwy N

Jacksonville, FL 322565003

Telephone 9044508090
Associated Practice Facility / Clinic
🏢 Bruce R Maddern Md Pa Facility NPI 1225001589

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.6 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
221 Specialists

Practicing in Jacksonville, FL (4160 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME119597

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
012348500 (FL)
Commercial Insurance / Payer ID Bcbs
14U8K (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Emily Archer , APRN

Nurse Practitioner - Pediatrics

NPI 1346973088

Advanced Practice Registered Nurse

NPI 1629497516

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 08, 2018

Registered at 10475 CENTURION PKWY N, JACKSONVILLE, FL 322565003 (Tel: 9044508090)

📍
Updated Business Mailing Address March 08, 2018

Registered at 10475 CENTURION PKWY N, JACKSONVILLE, FL 322565003 (Tel: 9044508090)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2018

Pediatrics (License #ME119597 in FL)

NPI Profile Active October 13, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2014

Registered at 841 PRUDENTIAL DR, SUITE 1130, JACKSONVILLE, FL 322078329 (Tel: 9046334199)

📍
Updated Business Mailing Address October 13, 2014

Registered at 841 PRUDENTIAL DR, SUITE 1130, JACKSONVILLE, FL 322078329 (Tel: 9047558594)

👤
Provider Name / Credentials Updated October 13, 2014

Recorded as CONCEPCION AGNILA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2014

Family Medicine (License #ME119597 in FL)

🟢
Initial NPI Registration & Enumeration May 03, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104118686
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2011
Last Update: March 08, 2018
Sole Proprietor: No

Mailing Address

10475 Centurion Pkwy N

Jacksonville, FL 322565003

Phone: 9044508090

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.