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Individual

MS. DANIA ACEBO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9851 NW 58TH ST, SUITE 125, DORAL, FL 33178-2716
(305) 403-1035
Mailing address
9925 NW 27TH TER, DORAL, FL 33172-1314
(305) 333-5122

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103152
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA9103152
STATE LICENSE
FL
Enumeration date
02/22/2007
Last updated
08/14/2012
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