Acosta, Jenny Constanza
Acosta, Jenny Constanza is an sole proprietor health care provider with primary practice located at 3784 Cypress Lake Dr , Lake Worth FL 33467-2205. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Acosta, Jenny Constanza can be contacted via phone (954) 907-4077.Contact Information
Primary practice address
3784 Cypress Lake Dr
Lake Worth FL 33467-2205
Phone: (954) 907-4077
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1124232244 |
|---|---|
| LBN Legal business name | Acosta, Jenny Constanza |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2007 |
| Last updated | Aug 20th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124232244 | NPPES |
| Florida | MEDICAID | 222Q00000X |
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