Angela Acevedo Md Pa | |
6202 W Corporate Oaks Dr Crystal River FL 34429-2705 | |
(352) 795-9697 | |
(352) 795-9698 |
Full Name | Angela Acevedo Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 6202 W Corporate Oaks Dr, Crystal River, Florida |
Authorized Official Name and Position | Jorge Acevedo (OFFICE MANAGER) |
Authorized Official Contact | 3527959697 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Angela Acevedo Md Pa 6202 W Corporate Oaks Dr Crystal River FL 34429-2705 Ph: (352) 795-9697 | Angela Acevedo Md Pa 6202 W Corporate Oaks Dr Crystal River FL 34429-2705 Ph: (352) 795-9697 |
NPI Number | 1861677247 |
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Provider Enumeration Date | 01/04/2008 |
Last Update Date | 07/09/2008 |
Medicare PECOS PAC ID | 7911079165 |
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Medicare Enrollment ID | O20080702000524 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861677247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Provider Name | Angela Acevedo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104895135 PECOS PAC ID: 6305804741 Enrollment ID: I20041230000691 |
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