Individual
JADIYER OLGA ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10300 SW 216TH ST, CUTLER BAY, FL 33190-1003
(305) 253-5100
Mailing address
10300 SW 216TH ST, CUTLER BAY, FL 33190-1003
(305) 253-5100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME 125741
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016695800
—
FL
Enumeration date
06/23/2014
Last updated
08/25/2016
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