Individual
LAURA ACOSTA GALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14415 SW 88TH ST APT 201G, MIAMI, FL 33186-1005
(786) 307-2133
Mailing address
14415 SW 88TH ST APT 201G, MIAMI, FL 33186-1005
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
22-304
WI
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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