Provider Demographics
NPI:1194113712
Name:ACEVEDO-NEGRON, HARRY WILLIAM (MD)
Entity type:Individual
Prefix:
First Name:HARRY
Middle Name:WILLIAM
Last Name:ACEVEDO-NEGRON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 SE 17TH ST STE 503
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5176
Mailing Address - Country:US
Mailing Address - Phone:352-816-0501
Mailing Address - Fax:
Practice Address - Street 1:150 SE 17TH ST STE 503
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5176
Practice Address - Country:US
Practice Address - Phone:352-816-0501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-05
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35136353207L00000X
FLME144653207LC0200X, 207L00000X
PR13571-I208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice