Organization
ACOSTA NEUROLOGY CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INDRANI ACOSTA M.D. (PHYSICIAN)
(407) 808-7577
Entity
Organization
Contact information
Practice address
685 MAYO AVE, MAITLAND, FL 32751-7325
(407) 808-7577
Mailing address
685 MAYO AVE, MAITLAND, FL 32751-7325
(407) 808-7577
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME150152
—
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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