person
Marcio Licurgo De Azevedo, APRN
Psychiatric/Mental Health Nurse Practitioner in Kissimmee, Florida
NPI 1861266074

Marcio Licurgo De Azevedo is a Psychiatric/Mental Health Nurse Practitioner based in Winter Garden, FL and is specialized in Psychiatric/Mental Health. Marcio Licurgo De Azevedo practices in Kissimmee, FL and has the professional credentials of APRN. The NPI Number for Marcio Licurgo De Azevedo is 1861266074 and holds a License No. 11029589 (Florida).

The current practice location address for Marcio Licurgo De Azevedo is 717 E Oak St, Kissimmee, FL and can be reached out via phone at 407-846-0533.

Location: 717 E Oak St, Kissimmee, FL, 34787-1764
person
Provider Profile Details
NPI Number
1861266074
Provider Name
Marcio Licurgo De Azevedo
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
717 E Oak St, Kissimmee, FL, 34787-1764
Phone Number
407-846-0533
Fax Number
Provider Enumeration Date
11/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
717 E Oak St
City
State
Zip
34744-4580
Phone Number
407-846-0533
Fax Number
person
Provider Business Mailing Address Details
Address
717 E Oak St
City
State
Zip
34744-4580
Phone Number
407-846-0533
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
11029589 (Florida)
Definition
Definition to come...
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