Individual
MRS. BETZY ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DRA.
Contact information
Practice address
1044 PLAZA DR, KISSIMMEE, FL 34743-4064
(407) 933-7900
(321) 437-0072
Mailing address
6675 WESTWOOD BLVD STE 475, ORLANDO, FL 32821-6027
(407) 845-0330
(888) 972-1752
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
15642
PR
208D00000X
General Practice Physician
Primary
ACN810
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134162
CAREPLUS
FL
01
—
1245954
WELLCARE
FL
01
—
HPY9Z
FLORIDA BLUE
FL
01
—
P01800814
SIMPLY
FL
01
—
P1043312
FREEDOM
FL
01
—
P977394
OPTIMUM
FL
Enumeration date
07/25/2006
Last updated
09/20/2018
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