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Individual

KIMBERLY LYNN ACEVEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
105 N DOVERPLUM AVE, KISSIMMEE, FL 34758-3309
(407) 943-8600
(407) 943-8625
Mailing address
1875 BOGGY CREEK RD, KISSIMMEE, FL 34744-4428
(407) 343-2000
(407) 343-2002

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9206642
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006378400
FL
Enumeration date
07/18/2012
Last updated
12/11/2012
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