Marcio Licurgo De Azevedo, APRN is a psychiatric/mental health nurse practitioner in Kissimmee, FL. Marcio Licurgo De Azevedo, APRN NPI is 1861266074. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
717 E OAK ST
KISSIMMEE, FL
ZIP 34744-580
Phone: (407) 846-0533
The NPI 1861266074 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/8/2023 and was last updated on 11/8/2023.