Individual
ERICK ACOSTA HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(561) 325-2848
Mailing address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
FA1836191
FL
2084P0800X
Psychiatry Physician
Primary
ME158158
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/30/2020
Last updated
01/28/2026
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