| Entity Name: | WILLIAM B. ACEVEDO, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 26 Jul 2006 (19 years ago) |
| Document Number: | P06000098762 |
| FEI/EIN Number | 205314271 |
| Address: | 726 W JEFFERSON ST, BROOKSVILLE, FL, 34601 |
| Mail Address: | 726 W JEFFERSON ST, BROOKSVILLE, FL, 34601 |
| ZIP code: | 34601 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518358175 | 2015-02-18 | 2015-03-11 | 726 W JEFFERSON ST, BROOKSVILLE, FL, 346012530, US | 726 W JEFFERSON ST, BROOKSVILLE, FL, 346012530, US | |||||||||||||||||||||||||
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| Phone | +1 352-754-1253 |
| Fax | 3527541293 |
Authorized person
| Name | DR. WILLIAM B ACEVEDO |
| Role | PRESIDENT |
| Phone | 3527541253 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME81386 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 266461500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ACEVEDO WILLIAM B | Agent | 726 W JEFFERSON ST, BROOKSVILLE, FL, 34601 |
| Name | Role | Address |
|---|---|---|
| ACEVEDO WILLIAM B | President | 726 W JEFFERSON ST, BROOKSVILLE, FL, 34601 |
| Name | Role | Address |
|---|---|---|
| ACEVEDO WILLIAM B | Vice President | 726 W JEFFERSON ST, BROOKSVILLE, FL, 34601 |
| Name | Role | Address |
|---|---|---|
| ACEVEDO WILLIAM B | Secretary | 726 W JEFFERSON ST, BROOKSVILLE, FL, 34601 |
| Name | Role | Address |
|---|---|---|
| ACEVEDO WILLIAM B | Treasurer | 726 W JEFFERSON ST, BROOKSVILLE, FL, 34601 |
| Name | Role | Address |
|---|---|---|
| ACEVEDO WILLIAM B | Director | 726 W JEFFERSON ST, BROOKSVILLE, FL, 34601 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-27 | 726 W JEFFERSON ST, BROOKSVILLE, FL 34601 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-27 | 726 W JEFFERSON ST, BROOKSVILLE, FL 34601 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-27 | 726 W JEFFERSON ST, BROOKSVILLE, FL 34601 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-06-17 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-04-21 |
| ANNUAL REPORT | 2016-04-23 |
| ANNUAL REPORT | 2015-04-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
