Individual
DR. EBER AZEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
133 BENMORE DR, WINTER PARK, FL 32792-4111
(630) 957-7917
Mailing address
8952 LAKE KATHRYN DR, PONTE VEDRA BEACH, FL 32082-2955
(630) 957-7917
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
140199
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22651
TRN
FL
Enumeration date
04/27/2016
Last updated
07/22/2019
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