Acosta, Johnathan

Acosta, Johnathan is an individual health care provider with primary practice located at 5757 N Dixie Hwy , Oakland Park FL 33334-4135. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Acosta, Johnathan can be contacted via phone (954) 734-2066.

Contact Information

Primary practice address
5757 N Dixie Hwy Oakland Park FL 33334-4135
Fax: (954) 734-2186
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH20902 Florida

Profile Details

NPI number 1922681378
LBN Legal business name Acosta, Johnathan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2021
Last updated May 4th, 2021 - about 3 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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