Individual
JUAN C. ACOSTA CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
(561) 955-7100
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
01062159A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
156515
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000961789
ANTHEM PROVIDER NUMBER
IN
05
—
200937500
—
IN
05
—
3072124
—
OH
05
—
7100262590
—
KY
Enumeration date
06/02/2008
Last updated
09/26/2022
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