Individual provider · NPI-1

Yamilet Acosta

Nurse Practitioner, Family · Fort Myers, FL

NPI number1073289278
StatusActive
Last updated in NPPESAug 18, 2021

Details

NPI
1073289278
Entity type
Individual (NPI-1)
Name
Yamilet Acosta
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 18, 2021
Certification date
Jul 20, 2021
Last updated
Aug 18, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family11014741FLYes

Practice location

4175 Castilla Cir Apt 104
Fort Myers, FL 33916-9519

Phone 239-689-0241

Mailing address

4175 Castilla Cir Apt 104
Fort Myers, FL 33916-9519

Phone 239-689-0241

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