Acosta, Enrique
Acosta, Enrique is an individual health care provider with primary practice located at 7244 W Mcnab Rd , North Lauderdale FL 33068-5441. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Acosta, Enrique can be contacted via phone (954) 341-0002.Contact Information
Primary practice address
7244 W Mcnab Rd
North Lauderdale FL 33068-5441
Phone: (954) 341-0002
Fax: (954) 341-7272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN17284 | Florida |
Profile Details
| NPI number | 1790708865 |
|---|---|
| LBN Legal business name | Acosta, Enrique |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jul 1st, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790708865 | NPPES |
| Florida | MEDICAID | 076110900 |
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