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1770788689

NPI Code Detail

MEDICARE: MARTIN ACEVEDO BARRIOS MD

MEDICARE: MARTIN ACEVEDO BARRIOS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	ME98414	FL
2	207P00000X	Emergency Medicine Physician	42222	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2088498	OTHER	FL	UNITED HEALTHCARE
2	312370	OTHER	FL	AV MED
3	17804	OTHER	FL	BLUE CROSS BLUE SHIELD OF FLORIDA
4	1770788689	OTHER	FL	HUMANA
5	19797	OTHER	FL	EVOLUTIONS
6	7564915	OTHER	FL	AETNA

General Provider Information

NPI Number	:	1770788689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTIN ACEVEDO BARRIOS MD

Provider Business Mailing Address
First Line	:	540 JETT DR
Second Line	:
City	:	JACKSON
State	:	KY
Zip	:	41339-9622
Country	:	US
Telephone Number	:	813-380-4905
Fax Number	:

Provider Business Practice Location Address
First Line	:	4881 PALM BEACH BLVD STE 100
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-3217
Country	:	US
Telephone Number	:	813-380-4905
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2007
Last Update Date	:	01/18/2016

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Directions to “ MARTIN ACEVEDO BARRIOS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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