Acevedo, Ray M

Acevedo, Ray M is an sole proprietor health care provider with primary practice located at 789 S Federal Hwy , Fort Lauderdale FL 33316-1245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Acevedo, Ray M can be contacted via phone (954) 315-5784.

Contact Information

Primary practice address
789 S Federal Hwy Fort Lauderdale FL 33316-1245
Phone: (954) 315-5784
Fax: (954) 522-0755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME58409 Florida

Profile Details

NPI number 1598752354
LBN Legal business name Acevedo, Ray M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2005
Last updated Mar 29th, 2019 - about 5 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 1598752354 NPPES
Florida MEDICAID 064528100

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