Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205026291 Individual Practitioner Female Practitioner

Dr. Vicdia L Sostre Concepcion , MD

General Practice • Tallahassee, FL

Professional Overview & Biography Verified Profile Summary

Dr. Vicdia Sostre Concepcion, MD is a registered healthcare professional specializing in General Practice in Tallahassee, FL. Practice services are available at 2181 ORANGE AVE E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2181 Orange Ave E

Tallahassee, FL 323116144

Telephone 3525486000
Associated Practice Facility / Clinic
🏢 Gainesville Vamc Facility NPI 1720036296

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Tallahassee, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
24 Specialists

Practicing in Tallahassee, FL (2490 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2025-02-04
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License PR 16752

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License FL ACN717

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
016161600 (FL)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Holly Willis , FNP-C

Nurse Practitioner - Primary Care

NPI 1003602467

Family Nurse Practitioner (Certified)

Dr. James Mason , MD

Urology - Female Pelvic Medicine and Reconstructive Surgery

NPI 1023300886

Doctor of Medicine (M.D.)

Mariecia Smith , LCSW

Social Worker - Clinical

NPI 1033154166

Licensed Clinical Social Worker

Dr. Milankumar Nathani , MD

Psychiatry & Neurology - Psychiatry

NPI 1033558929

Doctor of Medicine (M.D.)

Rosa Lozada-Garcia , FNP

Nurse Practitioner - Family

NPI 1053284026

Family Nurse Practitioner

Tara Lavan , LCSW

Social Worker - Clinical

NPI 1053765669

Licensed Clinical Social Worker

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location February 21, 2024

Registered at 2181 ORANGE AVE E, TALLAHASSEE, FL 323116144 (Tel: 3525486000)

📍
Updated Business Mailing Address February 21, 2024

Registered at 2181 ORANGE AVE E, TALLAHASSEE, FL 323116144 (Tel: 5255486000)

NPI Profile Active November 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 21, 2017

Registered at 5270 BABCOCK ST NE STE 1, PALM BAY, FL 329054616 (Tel: 3217225959)

📍
Updated Business Mailing Address November 21, 2017

Registered at PO BOX 1137, MELBOURNE, FL 329021137 (Tel: 3219529696)

👤
Provider Name / Credentials Updated November 21, 2017

Recorded as VICDIA SOSTRE CONCEPCION, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2017

General Practice (License #16752 in PR)

NPI Profile Active June 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2016

Registered at 11211 N NEBRASKA AVE, A-5, TAMPA, FL 336125777 (Tel: 8135142333)

📍
Updated Business Mailing Address June 28, 2016

Registered at 3656 MINUTE MAID RAMP RD 1, A-5, DAVENPORT, FL 338378237 (Tel: 9396402880)

👤
Provider Name / Credentials Updated June 28, 2016

Recorded as VICDIA SOSTRE CONCEPCION, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2016

General Practice (License #ACN717 in FL)

🟢
Initial NPI Registration & Enumeration July 26, 2007

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: 1205026291
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2007
Last Update: February 04, 2025
Sole Proprietor: No

Mailing Address

2181 Orange Ave E

Tallahassee, FL 323116144

Phone: 5255486000

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.