Individual
MAYKEL HERNANDEZ ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
8045 NW 36TH ST, DORAL, FL 33166-6627
(305) 594-1757
(305) 594-9781
Mailing address
8045 NW 36TH ST, DORAL, FL 33166-6627
(305) 594-1757
(305) 594-9781
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MA58826
FL
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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