Individual
DR. MICHELLE ANNETTE OSORIO ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
635 4TH ST N STE 200, ST PETERSBURG, FL 33701-2319
(727) 201-4968
(727) 201-4971
Mailing address
10800 BRIGHTON BAY BLVD NE APT 12207, ST PETERSBURG, FL 33716-3479
(727) 688-2982
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
154463
FL
207RN0300X
Nephrology Physician
Primary
154463
FL
208D00000X
General Practice Physician
21854
PR
Other
Enumeration date
06/21/2018
Last updated
02/29/2024
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