Provider Demographics
NPI:1366083107
Name:ACEVEDO, CAMELIA A (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:CAMELIA
Middle Name:A
Last Name:ACEVEDO
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2621 WINDGUARD CIR STE 102
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-7354
Mailing Address - Country:US
Mailing Address - Phone:813-344-3948
Mailing Address - Fax:833-518-1987
Practice Address - Street 1:2621 WINDGUARD CIR STE 102
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-7354
Practice Address - Country:US
Practice Address - Phone:813-344-3948
Practice Address - Fax:833-518-1987
Is Sole Proprietor?:No
Enumeration Date:2019-10-02
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11004319363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily