| Acosta Neurology Consulting, Llc | |
|
685 Mayo Ave Maitland FL 32751-7325 | |
| (407) 808-7577 | |
| Not Available |
| Full Name | Acosta Neurology Consulting, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 685 Mayo Ave, Maitland, Florida |
| Authorized Official Name and Position | Indrani Acosta (PHYSICIAN) |
| Authorized Official Contact | 4078087577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acosta Neurology Consulting, Llc 685 Mayo Ave Maitland FL 32751-7325 Ph: (407) 808-7577 | Acosta Neurology Consulting, Llc 685 Mayo Ave Maitland FL 32751-7325 Ph: (407) 808-7577 |
| NPI Number | 1952778714 |
|---|---|
| Provider Enumeration Date | 08/27/2015 |
| Last Update Date | 08/27/2015 |
| Medicare PECOS PAC ID | 1456657303 |
|---|---|
| Medicare Enrollment ID | O20160303000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952778714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME150152 (* (Not Available)) | Primary |
| Provider Name | Indrani E Acosta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962699892 PECOS PAC ID: 7719010560 Enrollment ID: I20100802000006 |
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