Healthcare Provider Details

I. General information

NPI: 1750207650
Provider Name (Legal Business Name): CENTURIUM HEALTH CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2016 SANTA BARBARA BLVD N
CAPE CORAL FL
33993-4214
US

IV. Provider business mailing address

2016 SANTA BARBARA BLVD N
CAPE CORAL FL
33993-4214
US

V. Phone/Fax

Practice location:
  • Phone: 281-677-7631
  • Fax:
Mailing address:
  • Phone: 281-677-7631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALBERTO PEREZ ACOSTA
Title or Position: OWNER
Credential: NP
Phone: 281-677-7631