Individual provider · NPI-1

Jose Antonio Acebal, ARNP

Nurse Practitioner, Family · Hialeah, FL

NPI number1821234790

StatusActive

Last updated in NPPESSep 20, 2022

Details

NPI: 1821234790
Entity type: Individual (NPI-1)
Name: Mr. Jose Antonio Acebal
Credential: ARNP
Sex: Male
Sole proprietor: No
Enumeration date: Dec 26, 2008
Certification date: Sep 20, 2022
Last updated: Sep 20, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	9248764	FL	Yes

Practice location

7100 W 20th Ave
Suite 105
Hialeah, FL 33016-1897

Phone 305-557-4016 · Fax 305-828-0670

Mailing address

15280 Nw 79th Ct Ste 200
Miami Lakes, FL 33016-5873

Phone 305-558-3724 · Fax 786-907-4485

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.