Individual
IVANKA ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3825 NW 7TH ST, MIAMI, FL 33126-5502
(305) 554-0693
Mailing address
3940 NW 79TH AVE APT 307, DORAL, FL 33166-6581
(305) 748-5185
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6378
FL
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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