Ashley Marie Acosta, OD
Optometrist in Miami, FL. Individual provider (NPI-1).
NPI number1265004402
StatusActive
Last updated in NPPESFeb 20, 2025
Details
- NPI
- 1265004402
- Entity type
- Individual (NPI-1)
- Name
- Ashley Marie Acosta
- Credential
- OD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 16, 2021
- Certification date
- Feb 20, 2025
- Last updated
- Feb 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPC5924 | FL | Yes |
| 152W00000X | Optometrist | 27OA00706300 | NJ | |
| 152W00000X | Optometrist | 27OM00173600 | NJ |
Practice location
11501 Sw 40th StMiami, FL 33165-3313
Phone 305-642-5366
Mailing address
8600 Nw 41st St Ste 101Doral, FL 33166-6202
Phone 305-642-5366
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