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NPI Code Detail

MEDICARE: ANTHONY LORENZO ACOSTA

MEDICARE:   ANTHONY  LORENZO ACOSTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246ZC0007XSurgical Assistant22-292FL

General Provider Information

NPI Number : 1356073738
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY LORENZO ACOSTA
Provider Business Mailing Address
First Line : 533 SE 8TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33010-5301
Country : US
Telephone Number : 303-397-3658
Fax Number :
Provider Business Practice Location Address
First Line : 533 SE 8TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33010-5301
Country : US
Telephone Number : 303-397-3658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2022
Last Update Date : 06/25/2022

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Directions to “ ANTHONY LORENZO ACOSTA ” Practice Location

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