Provider Demographics
NPI:1750089074
Name:ACOSTA CABADILLA, LILIANA DE LOS ANGELES (APRN)
Entity type:Individual
Prefix:
First Name:LILIANA
Middle Name:DE LOS ANGELES
Last Name:ACOSTA CABADILLA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13966 SW 90TH AVE APT JJ101
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33176-7147
Mailing Address - Country:US
Mailing Address - Phone:305-303-5849
Mailing Address - Fax:
Practice Address - Street 1:13966 SW 90TH AVE APT JJ101
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33176-7147
Practice Address - Country:US
Practice Address - Phone:305-303-5849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF02230696363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty