Individual
JESSICA ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4575 SE DIXIE HWY, STUART, FL 34997-6826
(561) 704-9950
Mailing address
6650 TIBURON CIR, BOCA RATON, FL 33433-5048
(561) 704-9950
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
—
—
247200000X
Other Technician
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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