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Idalmys Acosta

Contractor in Miami, FL. Individual provider (NPI-1).

NPI number1346697182
StatusActive
Last updated in NPPESMay 23, 2016

Details

NPI
1346697182
Entity type
Individual (NPI-1)
Name
Idalmys Acosta
Sex
Female
Sole proprietor
No
Enumeration date
May 23, 2016
Last updated
May 23, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171W00000X Contractor––Yes

Practice location

14335 Sw 120th St
201
Miami, FL 33186-7294

Phone 305-967-8074 · Fax 305-967-8302

Mailing address

14335 Sw 120th St
201
Miami, FL 33186-7294

Phone 305-967-8074 · Fax 305-967-8302

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