Individual
IVAN ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
298 E 3RD ST UNIT 103, HIALEAH, FL 33010-6231
(786) 420-0543
Mailing address
298 E 3RD ST UNIT 103, HIALEAH, FL 33010-6231
(786) 420-0543
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11032059
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11032059
FL
Other
Enumeration date
03/29/2024
Last updated
05/12/2026
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