Provider Demographics
NPI:1063946556
Name:ACEBRON, LILIA DEL MUNDO (ARNP)
Entity type:Individual
Prefix:MRS
First Name:LILIA
Middle Name:DEL MUNDO
Last Name:ACEBRON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5510 PEACH AVE
Mailing Address - Street 2:
Mailing Address - City:SEFFNER
Mailing Address - State:FL
Mailing Address - Zip Code:33584-3462
Mailing Address - Country:US
Mailing Address - Phone:813-516-1594
Mailing Address - Fax:
Practice Address - Street 1:5510 PEACH AVE
Practice Address - Street 2:
Practice Address - City:SEFFNER
Practice Address - State:FL
Practice Address - Zip Code:33584-3462
Practice Address - Country:US
Practice Address - Phone:813-516-1594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-12
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9307064363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily