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NPI Code Detail

MEDICARE: ACEVEDO MEDICAL CARE GROUP INC

MEDICARE: ACEVEDO MEDICAL CARE GROUP INC
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
1208D00000XGeneral Practice Physician

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 : 1588756001
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACEVEDO MEDICAL CARE GROUP INC
Provider Business Mailing Address
First Line : 2400 NW 54TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33142-2946
Country : US
Telephone Number : 305-633-9090
Fax Number : 305-633-9383
Provider Business Practice Location Address
First Line : 2400 NW 54 ST.
Second Line :
City : MIAMI
State : FL
Zip : 33142
Country : US
Telephone Number : 305-633-9090
Fax Number : 305-633-9383
Authorized Official
Title or Position : PRESIDENT
Name : DR. ARMANDO E ACEVEDO
Credential : M.D.
Telephone Number : 305-633-9090
Provider Enumeration Date : 09/29/2006
Last Update Date : 06/05/2026

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Directions to “ACEVEDO MEDICAL CARE GROUP INC ” Practice Location

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