JENNY CONSTANZA ACOSTA (NPI# 1124232244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124232244 |
| Entity Type | Individual |
| Full Name | JENNY CONSTANZA ACOSTA |
| Practice Address |
3784 Cypress Lake Dr Lake Worth FL 33467-2205 |
| Practice Telephone | 9549074077 |
| Mailing Telephone | 9549074077 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2014-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 222Q00000X | 05 |
| Street Address |
3784 CYPRESS LAKE DR |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33467-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891259537 | Paulette Penning | Nurse Practitioner | Clinic 7891 8954 Lantana Rd, Lake Worth, FL 33467 | 2019-01-28 |
| 1700357183 | Dara Gill | Physical Therapist | 9897 Lake Worth Rd Ste 203, Lake Worth, FL 33467 | 2018-12-11 |
| 1609344977 | Farah Edwidge Johanne Sajous | Nurse Practitioner | 9351 Pinto Dr, Lake Worth, FL 33467 | 2018-11-05 |
| 1386110138 | Juliana Escamilla | Massage Therapist | 390 Bennington Lane, Apt B, Lake Worth, FL 33467 | 2018-10-19 |
| 1609369453 | Courtney Kehaulani Linke | Occupational Therapist | 4602 Sandy Cove Ter, Lake Worth, FL 33467 | 2018-06-07 |
| 1821589862 | Matthew James Dowda | Physical Therapy Assistant | 5342 Evening Star Way, Lake Worth, FL 33467 | 2018-05-25 |
| 1053828954 | Ailema Bayola Perez | Dentist | 3935 Jog Rd, Suite 16, Greenacres, FL 33467 | 2018-01-02 |
| 1922517424 | Metro Physical & Occupational Therapy Inc | Occupational Therapist | 9130 Hypoluxo Road, Lake Worth, FL 33467 | 2017-09-27 |
| 1659806826 | Advanced Placement Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 9627 Bergamo Street, Lake Worth, FL 33467 | 2017-04-26 |
| 1700326378 | Doctor's Choice Medical Center, Inc | Clinic/Center | 2994 S Jog Rd Ste A, Greenacres, FL 33467 | 2017-03-02 |
| Find all providers in zip 33467 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043697949 | Tanya Farris-steward | Specialist | 6898 Houlton Cir, Lake Worth, FL 33467-8741 | 2015-04-29 |
| 1346413804 | Jeremy Dalisay Chan | Specialist | 6798 Ashburn Rd, Lake Worth, FL 33467-7319 | 2008-04-04 |
| 1487842753 | Randall Deal | Specialist | 5791 Lago Del Sol Dr, Lake Worth, FL 33449-5426 | 2007-10-11 |
| 1851583082 | Rely-a-bill Medical Billing Services LLC | Specialist | 8256 Abalone Point Blvd, Lake Worth, FL 33467-6944 | 2007-08-12 |
| 1285838672 | Denise Lucy Caruso | Specialist | 7567 Wentworth Dr, Lake Worth, FL 33467-7811 | 2007-06-12 |
| 1992919385 | Tania Lopez | Specialist | 1906 N A St, Lake Worth, FL 33460-6002 | 2007-05-09 |
| 1467528240 | Mary Lynn Engroff | Specialist | 7595 Lake Worth Rd, Lake Worth, FL 33467-2532 | 2006-11-26 |
| 1609952787 | Marilyn Gail Harvie | Specialist | 9655 San Vittore St, Lake Worth, FL 33467-6149 | 2006-10-31 |
| 1548362833 | Peter Jay Lowe | Specialist | 4175 S Congress Ave Ste V, Lake Worth, FL 33461-4725 | 2006-09-05 |
| 1376650929 | John D. Corbitt, Jr. Md, Inc | Specialist | 140 John F Kennedy Dr, Suite 142, Lake Worth, FL 33462-6608 | 2006-08-23 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33467 |
Please comment or provide details below to improve the information on JENNY CONSTANZA ACOSTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.