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Nilda Acosta MD PA

Non-Pharmacy Dispensing Site in Homestead, FL. Organization (NPI-2).

NPI number1033223003
StatusActive
Last updated in NPPESFeb 26, 2013

Details

NPI
1033223003
Entity type
Organization (NPI-2)
Legal business name
Nilda Acosta MD PA
Organization subpart
No
Enumeration date
Aug 18, 2006
Last updated
Feb 26, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332900000X Non-Pharmacy Dispensing SiteME61179FLYes

Other names

  • Excellence Medical Center (Doing Business As)

Practice location

1235 N Krome Ave
Homestead, FL 33030-4204

Phone 305-242-5336 · Fax 305-242-5337

Mailing address

1235 N Krome Ave
Homestead, FL 33030-4204

Authorized official

Nilda Acosta
Managed Care Specialist
8006540889

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