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MR. RAFAEL ACEVEDO
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1801151626
Individual Registrant:MR. RAFAEL ACEVEDO
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1201 1ST ST S WINTER HAVEN, FL 33880-3904 US
Tel: 863-293-1121 Fax: --
Tel: 863-293-1121 Fax: --
Contact information for business:
200 AVENUE F NE WINTER HAVEN, FL 33881-4131 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1801151626
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171M00000X | Other Service Providers Case Manager/Care Coordinator |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
