MEDICARE: MAGDA ACREUS

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
1	363LF0000X	Family Nurse Practitioner	11030419	FL

General Provider Information

NPI Number	:	1386409092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAGDA ACREUS

Provider Business Mailing Address
First Line	:	PO BOX 101232
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33310-1232
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7169 W OAKLAND PARK BLVD
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-1038
Country	:	US
Telephone Number	:	954-548-9361
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2024
Last Update Date	:	02/21/2024

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Directions to “ MAGDA ACREUS ” Practice Location

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