Acosta, Jenny Constanza

Acosta, Jenny Constanza is an sole proprietor health care provider with primary practice located at 3784 Cypress Lake Dr , Lake Worth FL 33467-2205. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Acosta, Jenny Constanza can be contacted via phone (954) 907-4077.

Contact Information

Primary practice address
3784 Cypress Lake Dr Lake Worth FL 33467-2205
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1124232244
LBN Legal business name Acosta, Jenny Constanza
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2007
Last updated Aug 20th, 2014 - about 10 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124232244 NPPES
Florida MEDICAID 222Q00000X

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