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Organization
RR ACOSTA LLC
Active
Organization
RR ACOSTA LLC
Active
Other names
Glee Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
REYNALDO RUEDA ACOSTA APRN (NP)
(786) 665-6567
Entity
Organization
Contact information
Practice address
8748 SW 8TH ST, MIAMI, FL 33174-3201
(786) 665-6567
(540) 304-2393
Mailing address
10500 SW 108TH AVE APT B207, MIAMI, FL 33176-8603
(786) 307-9365
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
NULL
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
10/13/2025
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