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Organization
JAIME ACOSTA LLC
Active
Organization
JAIME ACOSTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME LEON ACOSTA PHD (DIRECTOR)
(786) 525-7470
Entity
Organization
Contact information
Practice address
253 NE 2ND ST APT 1704, MIAMI, FL 33132-2292
(786) 525-7470
(786) 796-5253
Mailing address
253 NE 2ND ST APT 1704, MIAMI, FL 33132-2292
(786) 525-7470
(786) 796-5253
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E1835B
MEDICARE PROVIDER
FL
Enumeration date
03/20/2013
Last updated
09/23/2024
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