Acevedo, Angela
Acevedo, Angela is an individual health care provider with primary practice located at 6202 W Corporate Oaks Dr , Crystal River FL 34429-2705. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Acevedo, Angela can be contacted via phone (352) 795-9697.Contact Information
Primary practice address
6202 W Corporate Oaks Dr
Crystal River FL 34429-2705
Phone: (352) 795-9697
Fax: (352) 795-9698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME82096 | Florida |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME82096 | Florida |
Profile Details
| NPI number | 1104895135 |
|---|---|
| LBN Legal business name | Acevedo, Angela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Nov 11th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104895135 | NPPES |
| Florida | Other | 51981 | BCBS |
| Florida | MEDICAID | 265373700 | BCBS |
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