Provider Demographics
NPI:1093218604
Name:ACOBE, LUZ M (SW)
Entity Type:Individual
Prefix:
First Name:LUZ
Middle Name:M
Last Name:ACOBE
Suffix:
Gender:F
Credentials:SW
Other - Prefix:
Other - First Name:LUZ
Other - Middle Name:M
Other - Last Name:ACOBE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1036 TWISTED BRANCH LN
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-8915
Mailing Address - Country:US
Mailing Address - Phone:787-635-8408
Mailing Address - Fax:
Practice Address - Street 1:1036 TWISTED BRANCH LN
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34771-8915
Practice Address - Country:US
Practice Address - Phone:787-635-8408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-10
Last Update Date:2018-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker