Individual
LUIS ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 NW 13TH ST, HOMESTEAD, FL 33030-4228
(786) 596-6557
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME84522
FL
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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