Acosta Enrriquez, Eliseo

Acosta Enrriquez, Eliseo is an sole proprietor health care provider with primary practice located at 7495 N University Drive , Tamarac FL 33321. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Acosta Enrriquez, Eliseo can be contacted via phone (954) 306-9037.

Contact Information

Primary practice address
7495 N University Drive Tamarac FL 33321
Phone: (954) 306-9037
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN1170 Florida

Profile Details

NPI number 1942767876
LBN Legal business name Acosta Enrriquez, Eliseo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2019
Last updated Nov 16th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942767876 NPPES
Florida MEDICAID 108255400
Florida Other M9167

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