Individual
JUAN ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
13720 N CLEVELAND AVE STE A, FORT MYERS, FL 33903-4300
(239) 995-6200
(239) 656-6609
Mailing address
13720 N CLEVELAND AVE STE A, FORT MYERS, FL 33903-4300
(239) 995-6200
(239) 656-6609
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN26017
FL
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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