Acevedo, Joan

Acevedo, Joan is an individual health care provider with primary practice located at 105 N Doverplum Ave , Kissimmee FL 34758-3309. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Acevedo, Joan can be contacted via phone (407) 943-8600.

Contact Information

Primary practice address
105 N Doverplum Ave Kissimmee FL 34758-3309
Phone: (407) 943-8600
Fax: (407) 943-8625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2015 Puerto Rico

Profile Details

NPI number 1619969516
LBN Legal business name Acevedo, Joan
Credentials D
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Dec 17th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619969516 NPPES
Florida MEDICAID 000898200
Florida Other 206202
Florida Other 41822
Florida Other 9600072
Florida Other 041584
Florida Other 80260
Florida Other 2678
Florida Other 740270

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