MEDICARE: ACELISE ACCEUS ALEXIS APRN

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	363LF0000X	Family Nurse Practitioner	ARNP9203914	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN9203914	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CKBKB	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992253769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ACELISE ACCEUS ALEXIS APRN

Provider Business Mailing Address
First Line	:	8988 ALEXANDRA CIR STE 207
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-6438
Country	:	US
Telephone Number	:	561-283-9247
Fax Number	:	618-282-8845

Provider Business Practice Location Address
First Line	:	1501 BELVEDERE RD STE 500
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-1524
Country	:	US
Telephone Number	:	561-283-9247
Fax Number	:

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

Provider Enumeration Date	:	09/21/2016
Last Update Date	:	06/25/2025

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