Individual
JEAN LYNN ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4301 S FLAMINGO RD STE 102, DAVIE, FL 33330-1902
(954) 640-1200
(954) 640-1208
Mailing address
17113 MIRAMAR PKWY STE 12, MIRAMAR, FL 33027-4565
(954) 257-9534
(954) 212-9445
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9273467
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
11016209
FL
Other
Enumeration date
05/31/2021
Last updated
05/13/2025
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