# IDALIA A ACOSTA MDPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841477114
- **Authorized official:** IDALIA A ACOSTA M.D. (PRESIDENT)
- **Authorized official phone:** (305) 220-1020

## Contact information

- **Practice address:** 8260 W FLAGLER ST, STE 2K, MIAMI, FL 33144-2069
- **Practice address phone:** (305) 220-1020
- **Practice address fax:** (305) 220-0906
- **Mailing address:** 8260 W FLAGLER ST, STE 2K, MIAMI, FL 33144-2069
- **Mailing address phone:** (305) 220-1020
- **Mailing address fax:** (305) 220-0906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME0066961 | FL | Yes |

## Other

- **Enumeration date:** 01/29/2008
- **Last updated:** 06/25/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 375698000 | — | FL |