Individual
LUZ LEIDA ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
4702 TARGET BLVD STE 16, KISSIMMEE, FL 34746-5313
(689) 200-7864
Mailing address
2622 DUNRAVEN CT, KISSIMMEE, FL 34743-5357
(352) 216-8907
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
9373690
FL
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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