Individual
ASHLEY MARIE ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
11501 SW 40TH ST, MIAMI, FL 33165-3313
(305) 642-5366
Mailing address
8600 NW 41ST ST STE 101, DORAL, FL 33166-6202
(305) 642-5366
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00706300
NJ
152W00000X
Optometrist
27OM00173600
NJ
152W00000X
Optometrist
Primary
OPC5924
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125395900
—
FL
Enumeration date
07/16/2021
Last updated
02/20/2025
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