Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marcio Licurgo de Azevedo, APRN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1861266074

Marcio Licurgo de Azevedo, APRN is a Nurse Practitioner in Ocoee, Florida. Qualified in 2023, 3 years ago. Practices with Dna Comprehensive Therapy Services LLC, a 437-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

2910 Maguire Rd Ste 2002
Ocoee, FL 34761-4742
Phone: (239) 690-6906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11029589 (FL)

Record details

NPI number1861266074
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedNovember 8, 2023
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Dna Comprehensive Therapy Services Llc — 437 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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