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NPI Code Detail

MEDICARE: SUGEILY HERNANDEZ ACEVEDO

MEDICARE:   SUGEILY  HERNANDEZ ACEVEDO
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
11223G0001XGeneral Practice Dentistry23936FL

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 : 1780123851
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUGEILY HERNANDEZ ACEVEDO
Provider Business Mailing Address
First Line : 33 SE 8TH ST APT 427
Second Line :
City : BOCA RATON
State : FL
Zip : 33432-6425
Country : US
Telephone Number : 787-932-4029
Fax Number :
Provider Business Practice Location Address
First Line : 3207 N STATE ROAD 7 STE 24
Second Line :
City : MARGATE
State : FL
Zip : 33063-7008
Country : US
Telephone Number : 954-979-1357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2017
Last Update Date : 09/24/2021

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Directions to “ SUGEILY HERNANDEZ ACEVEDO ” Practice Location

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