Individual
FLORENCE ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6769
(248) 577-3517
Mailing address
130 TOWN CENTER DRIVE, STE. 203, BEAUMONT MEDICAL STAFF AFFAIRS, TROY, MI 48084-1744
(248) 585-8216
(248) 585-8266
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704201061
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124094271
—
MI
01
—
430F364420
BCBSM
MI
Enumeration date
02/28/2006
Last updated
09/04/2015
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