Individual
JOEL J ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7040 SW 63RD CT, SOUTH MIAMI, FL 33143
(786) 281-3398
Mailing address
7040 SW 63RD CT, SOUTH MIAMI, FL 33143-4709
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL6005
FL
Other
Enumeration date
06/22/2018
Last updated
09/29/2020
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