Acosta, Martha Ivon

Acosta, Martha Ivon is an sole proprietor health care provider with primary practice located at 201 Hilda St Ste 15 , Kissimmee FL 34741-2359. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Acosta, Martha Ivon can be contacted via phone (407) 574-4848.

Contact Information

Primary practice address
201 Hilda St Ste 15 Kissimmee FL 34741-2359
Phone: (407) 574-4848
Fax: (407) 518-1919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 13965 Puerto Rico
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ACN 253 Florida

Profile Details

NPI number 1275697542
LBN Legal business name Acosta, Martha Ivon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2006
Last updated Jan 11th, 2018 - about 8 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 1275697542 NPPES
Florida MEDICAID 59608
Florida MEDICAID 77003
Florida Other 61101P
Florida MEDICAID 000491400
Florida MEDICAID 51062
Florida Other 5324601
Florida Other 68069
Florida MEDICAID 87726A

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