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HALLEY ACOSTA

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1467879130

Individual Registrant:
 HALLEY  ACOSTA 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
259 BILL FRANCE BLVD SUITE 200 DAYTONA BEACH, FL 32114-1316 US
Tel: 229-444-1390  Fax: --

Contact information for business:
2130 N NORMANDY BLVD  DELTONA, FL 32725-2612 US
Tel: 229-444-1390  Fax: --

Registration Information:
NPI: 1467879130
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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