Individual
LAURA JANE ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD/N
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610
(352) 375-1158
Mailing address
1600 SW ARCHER RD, BOX 100236, GAINESVILLE, FL 32610-0236
(352) 375-1158
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
ND5247
FL
174H00000X
Health Educator
—
—
Other
Enumeration date
02/05/2010
Last updated
04/22/2019
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