Organization · NPI-2

Acosta Chiropractic Center Corp

Chiropractor · Miami, FL

NPI number1265581573
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1265581573
Entity type
Organization (NPI-2)
Legal business name
Acosta Chiropractic Center Corp
Organization subpart
No
Enumeration date
Jan 9, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorCH8885FLYes

Practice location

7 Sw 107th Ave
Unit 4
Miami, FL 33174-1415

Phone 305-480-5900 · Fax 305-489-5911

Mailing address

7 Sw 107th Ave
Unit 4
Miami, FL 33174-1415

Phone 305-480-5900 · Fax 305-489-5911

Authorized official

Gustavo Acosta
Owner
3054805900

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