Active NPI
Victor Acevedo, PA-C
- Physician Assistant
- Wimauma, FL
National Provider Identifier
1619224219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 4914 Babbling Brook LN
Wimauma, FL 33598-4251 - Phone
- (702) 556-5755
- NPI assigned
- Aug 14, 2012
- Last updated
- Dec 8, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary |
Addresses
Primary practice location
4914 Babbling Brook LN
Wimauma, FL 33598-4251
Mailing address
4914 Babbling Brook LN
Wimauma, FL 33598-4251
Phone (702) 556-5755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701993600000",
"number": "1619224219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4914 BABBLING BROOK LN",
"city": "WIMAUMA",
"state": "FL",
"postal_code": "335984251",
"telephone_number": "702-556-5755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4914 BABBLING BROOK LN",
"city": "WIMAUMA",
"state": "FL",
"postal_code": "335984251",
"telephone_number": "702-556-5755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVEDO",
"first_name": "VICTOR",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-14",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wimauma, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.