| Lianne Acosta-ginart Psy D P A | |
|
8020 Sw 24th St Miami FL 33155-1225 | |
| (786) 942-6709 | |
| (305) 264-0253 |
| Full Name | Lianne Acosta-ginart Psy D P A |
|---|---|
| Speciality | Psychologist |
| Location | 8020 Sw 24th St, Miami, Florida |
| Authorized Official Name and Position | Lianne Acosta-ginart (PRESIDENT) |
| Authorized Official Contact | 7869426709 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lianne Acosta-ginart Psy D P A Po Box 441051 Miami FL 33144-1051 Ph: (786) 942-6709 | Lianne Acosta-ginart Psy D P A 8020 Sw 24th St Miami FL 33155-1225 Ph: (786) 942-6709 |
| NPI Number | 1528236122 |
|---|---|
| Provider Enumeration Date | 02/15/2008 |
| Last Update Date | 08/04/2008 |
| Medicare PECOS PAC ID | 5890868772 |
|---|---|
| Medicare Enrollment ID | O20080725000302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528236122 | NPI | - | NPPES |
| PY7501 | Other | FL | FLORIDA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7501 (Florida) | Primary |
| Provider Name | Lianne Acosta-ginart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154524510 PECOS PAC ID: 8729172291 Enrollment ID: I20140303000427 |
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