MEDICARE: DR. JOSUE DAVID ACEVEDO M.D.

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	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	178006	FL
2	207X00000X	Orthopaedic Surgery Physician	036150562	IL

General Provider Information

NPI Number	:	1427325034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSUE DAVID ACEVEDO M.D.

Provider Business Mailing Address
First Line	:	1321 NW 14TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-1673
Country	:	US
Telephone Number	:	305-243-3000
Fax Number	:	305-689-3928

Provider Business Practice Location Address
First Line	:	1321 NW 14TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-1673
Country	:	US
Telephone Number	:	305-243-3000
Fax Number	:	305-689-3928

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

Provider Enumeration Date	:	11/27/2011
Last Update Date	:	05/26/2026

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