Healthcare Provider Details

I. General information

NPI: 1720362262
Provider Name (Legal Business Name): CLAUDIA D ACOSTA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2011
Last Update Date: 06/05/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5101 SW 8TH STREET SUITE 200
CORAL GABLES FL
33134-2442
US

IV. Provider business mailing address

5101 SW 8TH STREET SUITE 200
CORAL GABLES FL
33134-2442
US

V. Phone/Fax

Practice location:
  • Phone: 305-913-0666
  • Fax: 305-913-0663
Mailing address:
  • Phone: 305-359-5037
  • Fax: 786-509-5544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA9106252
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: