Healthcare Provider Details

I. General information

NPI: 1588756001
Provider Name (Legal Business Name): ACEVEDO MEDICAL CARE GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 NW 54 ST.
MIAMI FL
33142
US

IV. Provider business mailing address

2400 NW 54TH ST
MIAMI FL
33142-2946
US

V. Phone/Fax

Practice location:
  • Phone: 305-633-9090
  • Fax: 305-633-9383
Mailing address:
  • Phone: 305-633-9090
  • Fax: 305-633-9383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ARMANDO E ACEVEDO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-633-9090