Andy G Acosta Acevedo
Individual provider Active NPI Developmental Therapist · Deerfield Beach, FL
NPI 1396127486 · NPPES record last updated Jun 24, 2015
Key facts
- NPI
- 1396127486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817 - Phone
- (888) 880-9270
- NPI assigned
- Jun 24, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Mailing address
500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Phone (888) 880-9270
Other providers in Deerfield Beach, FL
- Belizemene Acceus
- Accugene LLC
- Accurate Billing and Collections Group Inc.
- Alondra Acevedo I
- Joseline Acevedo
- Jan Michael Acosta
- Zamantha Michelly Acosta
- Katie Marie Acquino
- Action Physical Therapy
- Acuintegration Inc.
All providers in Deerfield Beach, FL · Developmental Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.