Licurgo De Azevedo, Marcio

Licurgo De Azevedo, Marcio is an individual health care provider with primary practice located at 2910 Maguire Rd Ste 2002 , Ocoee FL 34761-4742. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Licurgo De Azevedo, Marcio can be contacted via phone (239) 690-6906.

Contact Information

Primary practice address
2910 Maguire Rd Ste 2002 Ocoee FL 34761-4742
Phone: (239) 690-6906
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11029589 Florida

Profile Details

NPI number 1861266074
LBN Legal business name Licurgo De Azevedo, Marcio
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2023
Last updated Jun 13th, 2024 - about last year

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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