Doctor Name: | MS. IVETTE ACOSTA |
NPI Number: | 1710254156 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 231867 |
Business Practice Address: | 2365 Ne 173rd St Apt 101 North Miami Beach, FL - 331604842 |
Business Phone Number: | 3059473567 |
Business Fax Number: | 3059473568 |
Mailing Address: | 2365 Ne 173rd St Apt 101, NORTH MIAMI BEACH |
State: | FL |
Postal Code: | 331604842 |
Phone Number: | 3059788620 |
Fax Number: | |
NPI Enumeration Date: | 11/30/2011 |
NPI Last Update Date: | 11/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 231867 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |