Healthcare Provider Details

I. General information

NPI: 1265656474
Provider Name (Legal Business Name): LEAH L ACERO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEAH L MORAN

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 10/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3663 S MIAMI AVE
MIAMI FL
33133-4253
US

IV. Provider business mailing address

799 CURTISWOOD DR
KEY BISCAYNE FL
33149-2404
US

V. Phone/Fax

Practice location:
  • Phone: 305-854-0616
  • Fax: 305-836-7101
Mailing address:
  • Phone: 305-361-0860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberARNP 9176123
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberARNP9176123
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: