Acosta, Melixsa
Acosta, Melixsa is an sole proprietor health care provider with primary practice located at 2200 Ne 33Rd Ave 10J, Fort Lauderdale FL 33305-1885. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Acosta, Melixsa can be contacted via phone (610) 804-6080.Contact Information
Primary practice address
2200 Ne 33Rd Ave 10J
Fort Lauderdale FL 33305-1885
Phone: (610) 804-6080
Fax: (954) 533-7298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA14262 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1073751541 |
|---|---|
| LBN Legal business name | Acosta, Melixsa |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2009 |
| Last updated | Mar 8th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073751541 | NPPES |
| Florida | Other | 13900445 | CAQH |
| Florida | MEDICAID | 013547700 | CAQH |
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