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ANGEL EDUARDO ACOSTA
>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1114682929
Individual Registrant: ANGEL EDUARDO ACOSTA
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
988 CAMBRIDGE DR WINTER HAVEN, FL 33881-9740 US
Tel: 321-203-9022 Fax: --
Tel: 321-203-9022 Fax: --
Contact information for business:
988 CAMBRIDGE DR WINTER HAVEN, FL 33881-9740 US
Tel: 321-203-9022 Fax: --
Tel: 321-203-9022 Fax: --
Registration Information:
NPI: 1114682929
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist | FL | MA91711 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
