Most Relevant Information
Provider Data
| NPI Number: | 1003651126 |
| Provider Name: | LIXSAN ACOSTA VELIZ APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 11032522 |
Most Important Dates
| Enumeration Date: | 06/29/2024 |
| Last Updated: | 06/29/2024 |
Provider Practice Location
9142 SW 34TH ST
MIAMI
FL
331654245
Practice Location Phone/Fax
| Phone: | 7864583638 |
| Fax: |
Provider Mailing Location
9142 SW 34TH ST
MIAMI
FL
331654245
Provider Mailing Phone/Fax
| Phone: | 7864583638 |
| Fax: |