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NPI Code Detail

MEDICARE: SARAH JELLE ACADO

MEDICARE:   SARAH JELLE ACADO
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
1363LS0200XSchool Nurse PractitionerSTUDENTFL

General Provider Information

NPI Number : 1992430318
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH JELLE ACADO
Provider Business Mailing Address
First Line : 438 NE 210TH CIRCLE TER APT 106
Second Line :
City : MIAMI
State : FL
Zip : 33179-1854
Country : US
Telephone Number : 786-663-6147
Fax Number :
Provider Business Practice Location Address
First Line : 438 NE 210TH CIRCLE TER APT 106
Second Line :
City : MIAMI
State : FL
Zip : 33179-1854
Country : US
Telephone Number : 786-663-6147
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2022
Last Update Date : 07/20/2022

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Directions to “ SARAH JELLE ACADO ” Practice Location

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