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Ivanka Acosta, OD

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

NPI number1972377612
StatusActive
Last updated in NPPESNov 13, 2023

Details

NPI
1972377612
Entity type
Individual (NPI-1)
Name
Ivanka Acosta
Credential
OD
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 13, 2023
Certification date
Oct 10, 2023
Last updated
Nov 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist6378FLYes

Practice location

3825 Nw 7th St
Miami, FL 33126-5502

Phone 305-554-0693

Mailing address

3940 Nw 79th Ave Apt 307
Doral, FL 33166-6581

Phone 305-748-5185

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