Individual provider · NPI-1

Gustavo Acosta, DC

Chiropractor · Miami, FL

NPI number1083661037
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1083661037
Entity type
Individual (NPI-1)
Name
Gustavo Acosta
Credential
DC
Sex
Male
Sole proprietor
No
Enumeration date
May 27, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorCH 8885FLYes

Practice location

348 Nw 27th Ave
Miami, FL 33125-3031

Phone 305-480-5900

Mailing address

348 Nw 27th Ave
Miami, FL 33125-3031

Phone 305-480-5900

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