Individual provider · NPI-1

Oliver Bain Acosta, MD

Physical Medicine & Rehabilitation · Miami, FL

NPI number1861050700
StatusActive
Last updated in NPPESAug 15, 2024

Details

NPI
1861050700
Entity type
Individual (NPI-1)
Name
Oliver Bain Acosta
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 5, 2019
Certification date
Aug 15, 2024
Last updated
Aug 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & RehabilitationME168097FLYes
2081P0301X Physical Medicine & Rehabilitation, Brain Injury MedicineME168097FL

Practice location

1475 Nw 12th Ave
Miami, FL 33136-1002

Phone 305-243-6605

Mailing address

110 N Federal Hwy Apt 508
Fort Lauderdale, FL 33301-1182

Phone 305-992-9674

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