Acosta, Idalia A

Acosta, Idalia A is an sole proprietor health care provider with primary practice located at 8260 W Flagler St Suite 2K, Miami FL 33144-2069. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Acosta, Idalia A can be contacted via phone (305) 220-1020.

Contact Information

Primary practice address
8260 W Flagler St Suite 2K Miami FL 33144-2069
Fax: (305) 220-0906
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME0066961 Florida

Profile Details

NPI number 1285738716
LBN Legal business name Acosta, Idalia A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2006
Last updated Jun 1st, 2009 - about 17 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 1285738716 NPPES
Florida Other ME0066961 MEDICAL LICENSE NUMBER
Florida Other 25992 MEDICAL LICENSE NUMBER
Florida MEDICAID 375698000 MEDICAL LICENSE NUMBER

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