Individual provider · Type 1 NPI

Marcio Licurgo de Azevedo, APRN

Psychiatric/Mental Health Nurse Practitioner · Ocoee, FL

NPI number 1861266074 Active

Practice location

2910 Maguire Rd Ste 2002
Ocoee, FL 34761-4742

Mailing address

15024 Chapter Way
Winter Garden, FL 34787-1764

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X11029589 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1861266074

Marcio Licurgo de Azevedo, APRN's National Provider Identifier is 1861266074, issued on Nov 8, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ocoee, FL. The record was last updated on Jun 13, 2024.