Doctor Name: | MRS. ADELIMELID C SANTOS ACEVEDO |
NPI Number: | 1952521221 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 14065 |
Business Practice Address: | 600 N Hart Blvd Orlando, FL - 328186834 |
Business Phone Number: | 4072970087 |
Business Fax Number: | 4072901753 |
Mailing Address: | 7800 W Oakland Park Blvd, Suite E-214 SUNRISE |
State: | FL |
Postal Code: | 333516741 |
Phone Number: | 9543186590 |
Fax Number: | 9543186604 |
NPI Enumeration Date: | 04/27/2007 |
NPI Last Update Date: | 04/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14065 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |