Rene J. Acevedo, PHARM.D.
Individual provider Active NPI Pharmacist · Lake Mary, FL
NPI 1437584471 · NPPES record last updated Sep 10, 2013
Key facts
- NPI
- 1437584471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 33862 (FL)
- Practice address
- 550 Technology Park
Lake Mary, FL 32746-7131 - Phone
- (888) 315-3395
- NPI assigned
- Sep 10, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33862 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 33862 | FL | Yes |
Addresses
Primary practice location
550 Technology Park
Lake Mary, FL 32746-7131
Mailing address
4124 Lake Underhill Rd Apt 108
Orlando, FL 32803-7086
Phone (407) 340-6979
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.