Organization
NILDA ACOSTA MD PA
Active
Organization
NILDA ACOSTA MD PA
Active
Other names
Excellence Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
NILDA ACOSTA (MANAGED CARE SPECIALIST)
(800) 654-0889
Entity
Organization
Contact information
Practice address
1235 N KROME AVE, HOMESTEAD, FL 33030-4204
(305) 242-5336
(305) 242-5337
Mailing address
1235 N KROME AVE, HOMESTEAD, FL 33030-4204
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME61179
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019149
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
373407201
—
FL
Enumeration date
08/18/2006
Last updated
02/26/2013
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