Individual
MISS LAURA ELENA LEON ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA
Contact information
Practice address
9299 SW 152ND ST STE 206, PALMETTO BAY, FL 33157-1776
(786) 638-0975
Mailing address
1485 W 46TH ST APT 322A, HIALEAH, FL 33012-7178
(786) 674-4117
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
21-107
FL
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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