Individual
DR. JOAN ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D
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
1223G0001X
General Practice Dentistry
Primary
2015
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000898200
—
FL
01
—
041584
BLUE CROSS
PR
01
—
206202
UTI
PR
01
—
2678
IMC
PR
01
—
41822
TSSS REFORMA
PR
01
—
740270
UNITED CONCORDIA
PR
01
—
80260
ACMS
—
01
—
9600072
HUMANA
PR
Enumeration date
08/17/2005
Last updated
12/17/2012
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