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NPI Code Detail

MEDICARE: KIMBERLY LYNN ACEVEDO ARNP

MEDICARE: KIMBERLY LYNN ACEVEDO ARNP
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
1363LA2200XAdult Health Nurse PractitionerARNP9206642FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164777827
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY LYNN ACEVEDO ARNP
Provider Business Mailing Address
First Line : 1875 BOGGY CREEK RD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34744-4428
Country : US
Telephone Number : 407-343-2000
Fax Number : 407-343-2002
Provider Business Practice Location Address
First Line : 105 N DOVERPLUM AVE
Second Line :
City : KISSIMMEE
State : FL
Zip : 34758-3309
Country : US
Telephone Number : 407-943-8600
Fax Number : 407-943-8625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2012
Last Update Date : 12/11/2012

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