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ANGEL EDUARDO ACOSTA

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1114682929

Individual Registrant:
 ANGEL EDUARDO ACOSTA 
Gender: M
Sole Proprietor

Location and contact information for practice:
988 CAMBRIDGE DR  WINTER HAVEN, FL 33881-9740 US
Tel: 321-203-9022  Fax: --

Contact information for business:
988 CAMBRIDGE DR  WINTER HAVEN, FL 33881-9740 US
Tel: 321-203-9022  Fax: --

Registration Information:
NPI: 1114682929
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
FLMA91711

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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