# ANGELA ACEVEDO MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861677247
- **Authorized official:** MR. JORGE ACEVEDO (OFFICE MANAGER)
- **Authorized official phone:** (352) 795-9697

## Contact information

- **Practice address:** 6202 W CORPORATE OAKS DR, CRYSTAL RIVER, FL 34429-2705
- **Practice address phone:** (352) 795-9697
- **Practice address fax:** (352) 795-9698
- **Mailing address:** 6202 W CORPORATE OAKS DR, CRYSTAL RIVER, FL 34429-2705
- **Mailing address phone:** (352) 795-9697
- **Mailing address fax:** (352) 795-9698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 01/04/2008
- **Last updated:** 07/09/2008