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DR. JAVIER ACEVEDO M.D.
Cardiovascular Disease >> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1356525596
Individual Registrant:DR. JAVIER ACEVEDO M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
200 AVENUE F NE STE 9118 WINTER HAVEN, FL 33881-4131 US
Tel: 863-297-1777 Fax: 863-297-1756
Tel: 863-297-1777 Fax: 863-297-1756
Contact information for business:
200 AVENUE F NE STE 9118 WINTER HAVEN, FL 33881-4131 US
Tel: 863-292-4004 Fax: 863-292-4653
Tel: 863-292-4004 Fax: 863-292-4653
Registration Information:
NPI: 1356525596
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207RC0000X | Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease | FL | ME101105 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 100984300 | FL | 05 | |
| MEDICARE PTAN | LE979 | FL | 01 |
