Individual
MARTIN ACEVEDO BARRIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4881 PALM BEACH BLVD STE 100, FORT MYERS, FL 33905-3217
(813) 380-4905
Mailing address
540 JETT DR, JACKSON, KY 41339-9622
(813) 380-4905
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
42222
KY
208600000X
Surgery Physician
ME98414
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770788689
HUMANA
FL
01
—
17804
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
01
—
19797
EVOLUTIONS
FL
01
—
2088498
UNITED HEALTHCARE
FL
01
—
312370
AV MED
FL
01
—
7564915
AETNA
FL
Enumeration date
06/19/2007
Last updated
01/18/2016
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