Provider Information for 1508688979
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NATALI ACEVEDO
Sex: Female
NPI: 1508688979
Last Updated: 2024-10-28
Certification Date: 2024-10-24
Certification Date: 2024-10-24
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1508688979 | ||||||||
| Enumeration Date | 2024-10-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1851 SW 81ST. AVE DAVIE, FL 33324 United States Phone: 954-821-5661 | Fax: | ||||||||
| Primary Practice Address | 1851 SW 81ST. AVE DAVIE, FL 33324 United States Phone: 954-821-5661 | Fax: | ||||||||
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