Acevedo, Ileana M
Acevedo, Ileana M is an individual health care provider with primary practice located at 12780 Race Track Rd Ste 300 , Tampa FL 33626-1306. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Acevedo, Ileana M can be contacted via phone (813) 792-9541.Contact Information
Primary practice address
12780 Race Track Rd Ste 300
Tampa FL 33626-1306
Phone: (813) 792-9541
Fax: (813) 443-8170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME118183 | Florida |
Profile Details
| NPI number | 1902033905 |
|---|---|
| LBN Legal business name | Acevedo, Ileana M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2009 |
| Last updated | Aug 19th, 2022 - about 2 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 | 1902033905 | NPPES |
| Florida | MEDICAID | 101875700 |
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