Individual
MS. IVETTE ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2365 NE 173RD ST APT 101, NORTH MIAMI BEACH, FL 33160-4842
(305) 947-3567
(305) 947-3568
Mailing address
2365 NE 173RD ST APT 101, NORTH MIAMI BEACH, FL 33160-4842
(305) 978-8620
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
231867
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231867
AGENCY FOR HEALTHCARE ADMINISTRATION
FL
Enumeration date
11/30/2011
Last updated
11/30/2011
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