Dania Acebo, PA-C

Individual provider Active NPI Medical Physician Assistant · Doral, FL

NPI 1386779486 · NPPES record last updated Aug 14, 2012

Key facts

NPI
1386779486
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
License
PA9103152 (FL)
Practice address
9851 NW 58TH St
Suite 125
Doral, FL 33178-2716
Phone
(305) 403-1035
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Waldo Acebo MD PA Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9103152 FL Yes

Addresses

Primary practice location

9851 NW 58TH St
Suite 125
Doral, FL 33178-2716

Mailing address

9925 NW 27TH Ter
Doral, FL 33172-1314
Phone (305) 333-5122

Other identifiers

IdentifierTypeStateIssuer
PA9103152OtherFLSTATE LICENSE

Other providers in Doral, FL

All providers in Doral, FL · Medical Physician Assistant in Florida

Sources for this page

Verify at the official NPI Registry.